Individual
SABRINA GLORIA HEDGPETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
18714 E SEAGULL DR, QUEEN CREEK, AZ 85142-5144
(480) 643-9265
Mailing address
18714 E SEAGULL DR, QUEEN CREEK, AZ 85142-5144
(480) 643-9265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5349
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999999
—
AZ
Enumeration date
02/05/2013
Last updated
02/05/2013
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