Individual
REBECCA MARIE HYDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
455 N 3RD ST STE 200, PHOENIX, AZ 85004-3932
(602) 528-3450
Mailing address
3868 E ESPLANADE AVE, GILBERT, AZ 85297-5405
(480) 988-3820
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2473
AZ
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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