Individual
MRS. BEVERLY CLAIRE THURBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
950 W LAGUNA AZUL AVE, MESA, AZ 85210-7135
(602) 684-9175
(480) 730-1325
Mailing address
950 W LAGUNA AZUL AVE, MESA, AZ 85210-7135
(602) 684-9175
(480) 730-1325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0399
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770900
AHCCCS PROVIDER ID NUMBER
AZ
Enumeration date
01/30/2007
Last updated
07/08/2007
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