Individual provider · Type 1 NPI

Luke Anton Vires, COTA

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1528215746 Active

Practice location

10730 W Campbell Ave
Phoenix, AZ 85037-5400

Call (623) 772-2580 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4202 (AZ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1528215746

Luke Anton Vires, COTA's National Provider Identifier is 1528215746, issued on Aug 19, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 19, 2008.