Individual
JENNIFER LYNN VANDEHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1830 S ALMA SCHOOL RD STE 130, MESA, AZ 85210
(480) 902-0771
Mailing address
1830 S ALMA SCHOOL RD STE 130, MESA, AZ 85210-3088
(480) 902-0771
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007603
AZ
225X00000X
Occupational Therapist
4413-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20533523
—
WI
05
—
442018
—
AZ
Enumeration date
09/17/2007
Last updated
11/21/2018
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