Organization
GYE DI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE CONATSER OTR/L (CHIEF EXECUTIVE OFFICER)
(602) 793-9676
Entity
Organization
Contact information
Practice address
2880 E CRESCENT WAY, GILBERT, AZ 85298-8762
(602) 793-9676
Mailing address
2880 E CRESCENT WAY, GILBERT, AZ 85298-8762
(602) 793-9676
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427119304
—
AZ
05
—
1477025229
—
AZ
05
—
1497386809
—
AZ
Enumeration date
01/04/2021
Last updated
01/04/2021
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