Mr. George James Mata JR.
Occupational Therapy Assistant
10251 N 35th Ave
Phoenix
, Arizona 85051-1305
Mr. George James Mata JR.
Occupational Therapy Assistant
10251 N 35th Ave
Phoenix
, Arizona 85051-1305
(602) 516-0162
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. George James Mata JR.
- 222 W Clarendon Ave Apt 207 Apt #207
- Phoenix, AZ
- Zip : 85013-3487
- Phone : (602) 516-0162
Second Address
- Mr. George James Mata JR.
- 10251 N 35th Ave
- Phoenix, AZ
- Zip : 85051-1305
- Phone : (602) 995-0867
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1917 | AZ |
National Provider Identifier
| NPI | 1023159779 |
|---|---|
| Provider Name | Mr. George James Mata JR. |
| First Address | Phoenix, AZ 85013-3487 |
| Second Address | Phoenix, AZ 85051-1305 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2007 |
| Last Update Date | 05/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.