Organization
GROWING FORWARD THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA SMITH MOT, OTR/L (OWNER, OCCUPATIONAL THERAPIST)
(480) 377-4393
Entity
Organization
Contact information
Practice address
3516 N RAMADA, MESA, AZ 85215-0759
(480) 377-4393
Mailing address
3516 N RAMADA, MESA, AZ 85215-0759
(480) 377-4393
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801204243
—
AZ
Enumeration date
12/12/2019
Last updated
12/12/2019
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