NPI 1023159779

George James Mata, COTAL

Practitioner Occupational Therapy Assistant Phoenix, AZ

Practice location

Address: 10251 N 35th Ave, Phoenix, AZ 85051-1305
Phone: (602) 995-0867
Mailing address: 222 W Clarendon Ave APT 207 APT #207, Phoenix, AZ 85013-3487

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 1917 (AZ)

Other Occupational Therapy Assistant providers in Arizona →

Registry record

NPI: 1023159779
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2007
Record last updated: 5 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.