IndividualActive
Johanna Avilez, CTRS
NPI 1760920870 · Recreation Therapist · Phoenix, AZ
Provider details
- NPI number
- 1760920870
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 59164 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone: (602) 448-4505
Approximate (ZIP-level) locationGet directions
Mailing address
650 E Indian School Rd
Phoenix, AZ 85012-1839
Registry dates
- Enumerated
- 2017-02-09
- Last updated
- 2017-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.