Shaneka a Lavender, Cota/l

NPI #1063960425 in Chandler, Arizona

Provider Information

NPI Number
1063960425
Entity Type
Organization
Organization Name
Shaneka a Lavender, Cota/l
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Sep 14, 2016
Last Updated
Sep 14, 2016

Practice Location

Address
55 S 133RD ST
State
Arizona
ZIP Code
85225-6014
Phone
(678) 458-0699

Authorized Official

Name
MRS. SHANEKA A LAVENDER
Title
COTA/L
Phone
(678) 458-0699

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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