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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SIYANDA OBED MQUQWANA, OT

Active Sole Proprietor

MR. SIYANDA OBED MQUQWANA, OT is a Occupational Therapist healthcare provider located in SAN LUIS, Arizona. NPI 1164557724 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SAN LUIS, AZ

Registration Details

NPI Number
1164557724
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2007 (19.460572875458 yrs)
Last Updated
Jul 8, 2007
License
2855 (AZ)
Sole Proprietor
Yes

Practice Information

Address
1453 N MAIN STREET
SUITE F
SAN LUIS, AZ, 85349
Browse AZ providers · Browse ZIP 85349
Phone
9286276567
Primary Specialty
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.