Individual
MRS. BETSY GRACE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
897 COVE PKWY STE 101, COTTONWOOD, AZ 86326-6516
(928) 634-0488
(928) 634-0757
Mailing address
897 COVE PKWY STE 101, COTTONWOOD, AZ 86326-6516
(928) 634-0488
(928) 634-0757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0089
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
771239
AHCCCS
AZ
01
—
AZ 0290670
BC/BS
AZ
Enumeration date
09/19/2007
Last updated
12/05/2007
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