NPI 1023685005

Serena Spears, COTA

Practitioner Occupational Therapy Assistant Phoenix, AZ

Practice location

Address: 4641 N 12th St STE 100, Phoenix, AZ 85014-4085
Phone: (602) 281-2896
Mailing address: 12226 S Paiute St, Phoenix, AZ 85044-2122

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-046929 (AZ)

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Registry record

NPI: 1023685005
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2021
Record last updated: 8 Jun 2021

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.