Individual
SHANECE THOMSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9821 E BELL RD, SCOTTSDALE, AZ 85260-2344
(480) 439-0099
Mailing address
2402 E 5TH ST UNIT 1393, TEMPE, AZ 85281-5147
(319) 929-5904
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7396
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7396
OCCUPATIONAL THERAPY BOARD OF EXAMINERS
AZ
Enumeration date
02/27/2018
Last updated
02/27/2018
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