Individual
REBECCA L CONOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
YUMA ELEMENTARY SCHOOL DISTRICT ONE, 450 S. 6TH STREET, YUMA, AZ 85364
(928) 502-4300
Mailing address
2673 S MARY AVE, YUMA, AZ 85365-3004
(928) 502-4300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7115
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7115
—
AZ
Enumeration date
08/13/2018
Last updated
08/13/2018
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