Organization
HEARD INNOVATIVE PEDIATRIC THERAPY, PLLC
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MICHELLE HEARD OTR/L (LICENSED OCCUPATIONAL THERAPIST)
(480) 241-7152
Entity
Organization
Contact information
Practice address
4700 E THOMAS RD, SUITE 100, PHOENIX, AZ 85018-7700
(602) 595-6683
(866) 659-7750
Mailing address
4700 E THOMAS RD, SUITE 100, PHOENIX, AZ 85018-7700
(602) 595-6683
(866) 659-7750
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3331
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080176
AHCCCS
AZ
01
—
1578699146
NPI
AZ
Enumeration date
02/26/2008
Last updated
02/26/2008
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