Individual
REBEKAH ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 E SHEA BLVD STE 101, PHOENIX, AZ 85028-6031
(602) 368-8601
Mailing address
4600 E SHEA BLVD STE 101, PHOENIX, AZ 85028-6031
(602) 368-8601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6112
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821041344
—
AZ
Enumeration date
03/06/2015
Last updated
03/06/2015
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