person
Mr. Luke Anton Vires, COTA
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1528215746

Luke Anton Vires is a Student in an Organized Health Care Education/Training Program based in Phoenix, AZ. Luke Anton Vires practices in Phoenix, AZ and has the professional credentials of COTA. The NPI Number for Luke Anton Vires is 1528215746 and holds a License No. 4202 (Arizona).

The current practice location address for Luke Anton Vires is 10730 W Campbell Ave, Phoenix, AZ and can be reached out via phone at 623-772-2580.

Location: 10730 W Campbell Ave, Phoenix, AZ, 85037-5400
person
Provider Profile Details
NPI Number
1528215746
Provider Name
Luke Anton Vires
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
10730 W Campbell Ave, Phoenix, AZ, 85037-5400
Phone Number
623-772-2580
Fax Number
Provider Enumeration Date
08/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10730 W Campbell Ave
City
State
Zip
85037-5400
Phone Number
623-772-2580
Fax Number
person
Provider Business Mailing Address Details
Address
10730 W Campbell Ave
City
State
Zip
85037-5400
Phone Number
623-772-2580
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
4202 (Arizona)
Definition
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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