Miranda J Riesgo, OTD, OTR/L
Occupational Therapist in Buckeye, AZ. Individual provider (NPI-1).
NPI number1558096495
StatusActive
Last updated in NPPESJul 22, 2022
Details
- NPI
- 1558096495
- Entity type
- Individual (NPI-1)
- Name
- Miranda J Riesgo
- Credential
- OTD, OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2022
- Certification date
- Jul 22, 2022
- Last updated
- Jul 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OTH-008868 | AZ | Yes |
Practice location
1000 E Narramore AveBuckeye, AZ 85326-2632
Phone 520-429-1953
Mailing address
3808 N 30th StPhoenix, AZ 85016-6902
Other practice locations
3535 E McDowell Rd
Phoenix, AZ 85008-3847
Phoenix, AZ 85008-3847
Phone 520-429-1953
4525 S College Ave
Tempe, AZ 85282-6905
Tempe, AZ 85282-6905
Phone 520-429-1953
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All 12 Occupational Therapist providers in Buckeye · All 796 providers in Buckeye
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