Organization
OVER THE MOON THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY KATE DAWSON AREINOFF OTR/L (OWNER)
(520) 271-6771
Entity
Organization
Contact information
Practice address
1215 E 14TH ST, TUCSON, AZ 85719-6406
(520) 271-6771
Mailing address
1215 E 14TH ST, TUCSON, AZ 85719-6406
(520) 271-6771
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397656
—
AZ
Enumeration date
05/07/2019
Last updated
05/08/2019
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