Individual
MICHAEL HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1076 W CHANDLER BLVD, STE 103, CHANDLER, AZ 85224-5225
(480) 821-1997
(480) 821-1887
Mailing address
1076 W CHANDLER BLVD, STE 103, CHANDLER, AZ 85224-5225
(480) 821-1997
(480) 821-1887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2486
AZ
225X00000X
Occupational Therapist
Primary
2486
AZ
Other
Enumeration date
07/09/2007
Last updated
11/20/2023
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