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Individual

GRACE OVERCASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT, CHT

Contact information

Practice address
3104 E INDIAN SCHOOL RD, SUITE 200, PHOENIX, AZ 85016-6889
(602) 224-9891
(602) 224-9808
Mailing address
9097 E DESERT COVE AVE, SUITE 110, SCOTTSDALE, AZ 85260-6710
(480) 860-4298
(480) 860-0356

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0451
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135154
AZ
Enumeration date
01/19/2006
Last updated
12/06/2010
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