Individual
VANESSA WHITCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11692 N 164TH DR, SURPRISE, AZ 85388-6038
(701) 541-2600
Mailing address
11692 N 164TH DR, SURPRISE, AZ 85388-6038
(701) 541-2600
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OTH-008566
AZ
Other
Enumeration date
10/11/2023
Last updated
10/12/2023
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