Individual
SHEILA MICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4045 E UNION HILLS DR STE 110, PHOENIX, AZ 85050
(602) 485-4444
Mailing address
4045 E UNION HILLS DR STE 110, PHOENIX, AZ 85050-3389
(602) 485-4444
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2796
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612003
—
AZ
Enumeration date
03/27/2009
Last updated
08/19/2018
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