Individual
MISS LORI ANN DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR LICENSED
Contact information
Practice address
4200 N 82ND ST UNIT 1007, SCOTTSDALE, AZ 85251-2770
(480) 947-1679
Mailing address
4200 N 82ND ST UNIT 1007, SCOTTSDALE, AZ 85251-2770
(480) 947-1679
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1648
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00350
DDD CONTRACT NUMBER
AZ
01
—
455312-02
AHCCCS NUMBER
AZ
01
—
AZ0463220
BCBS PROVIDER ID
AZ
Enumeration date
12/01/2006
Last updated
07/08/2007
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