SearchArizona225X00000X

Mary Shouse, OTR/L

NPI 1841731023 · on the registry since 2017

Practice

Address
2506 S 115th Ln
Avondale, AZ 85323
Phone
(623) 628-7806
Organisation at this address
Optimal Kids
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-20

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