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Contact Information

ANGELO J MAISANO, COTA/L
4870 N LITCHFIELD ROAD SUITE #101
LITCHFIELD PARK, AZ85340
 Phone: 623-935-6040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for ANGELO J MAISANO · (Male)

NPI Number 1992204614
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 02/08/2018
Last updated 02/08/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 7351
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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