SearchArizona225XP0200X

Phaedra Antioco, OTR

NPI 1720291123 · on the registry since 2007 · sole proprietor

Practice

Address
1401 E. Folley Place
Chandler, AZ 85225
Phone
(520) 401-1081
Fax
(480) 699-6115

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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