Individual
DARLA HERGENROETHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4533 E BANNER GATEWAY DR, MESA, AZ 85206-4708
(480) 912-1200
Mailing address
16421 S GREENFIELD RD, GILBERT, AZ 85295-1911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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