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Organization

ROOTS PEDIATRIC THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HANA EICHELE MOT, OTR/L (FOUNDER, OWNER, OT)
(701) 471-9786
Entity
Organization

Contact information

Practice address
7340 E LEGACY BLVD UNIT C2006, SCOTTSDALE, AZ 85255-6388
(701) 471-9786
Mailing address
7340 E LEGACY BLVD UNIT C2006, SCOTTSDALE, AZ 85255-6388
(701) 471-9786

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/01/2019
Last updated
10/01/2019
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