Individual
JENNIFER COSBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16428 E KINGSTREE BLVD, FOUNTAIN HILLS, AZ 85268-5440
(480) 837-4565
Mailing address
PO BOX 70203, ORO VALLEY, AZ 85737-9998
(505) 450-5297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
75356
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75356
LICENSE
NM
Enumeration date
12/14/2006
Last updated
08/01/2013
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