Jaqueline Martinez Olivares, COTA/L

NPI 1205659034 · on the registry since 2024 · sole proprietor

Practice

Address: 1951 W Camelback Rd Ste 450
Phoenix, AZ 85015
Phone: (480) 530-0890
Organisation at this address: Beacon Group, Inc.
Valley Group Homes Llc
Safe Ride Services, Inc.
Lexington Therapies, Llc
Aw 19th And Camelback Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 30

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona