Individual
REBECCA SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
510 E 8TH ST, CASA GRANDE, AZ 85122-4072
(520) 413-1206
Mailing address
2878 E SILVERSMITH TRL, SAN TAN VALLEY, AZ 85143-3314
(217) 503-6868
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA-046607
AZ
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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