AMANDA RAVER

PHOENIX, AZ
NPI1962873950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CO  OTA.0000672)
Enumeration Date2015-10-15
Last Update Date2015-10-15
Business Address
-- AMANDA RAVER COTA/L
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
Mailing Address
-- AMANDA RAVER COTA/L
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number: