NPI 1104204601

Joshua Lee van Gundy

Practitioner Occupational Therapy Assistant Gilbert, AZ

Practice location

Address: 4902 S Val Vista Dr Suite B102, Gilbert, AZ 85298-7325
Phone: (480) 855-8866
Mailing address: 3112 E Gable Cir, Mesa, AZ 85204-6321

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5969 (AZ)

Other Occupational Therapy Assistant providers in Arizona →

Registry record

NPI: 1104204601
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2015
Record last updated: 15 May 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.