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Contact Information

LISA A SIRKO, COTA
5314 N. 7TH ST
PHOENIX, AZ85014
 Phone: 602-277-5006
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for LISA A SIRKO · (Female)

NPI # 1376801050
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 05/01/2012
Last updated 05/01/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 5064
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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