MR. Siyanda Obed Mquqwana, OT

NPI #1164557724 in San Luis, Arizona

Provider Information

NPI Number
1164557724
Entity Type
Individual
Name
MR. Siyanda Obed Mquqwana, OT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OT
Enumeration Date
Feb 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1453 N MAIN STREET
Address 2
SUITE F
State
Arizona
ZIP Code
85349
Phone
(928) 627-6567

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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