Individual
JARED GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
6411 N ROBERT RD, PRESCOTT VALLEY, AZ 86314-9146
(928) 583-2642
Mailing address
6411 N ROBERT RD, PRESCOTT VALLEY, AZ 86314-9146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6502
AZ
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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