Individual
HEATHER B UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
(602) 708-8091
Mailing address
29676 N 126TH DR, PEORIA, AZ 85383-2483
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007549
AZ
Other
Enumeration date
08/16/2018
Last updated
07/09/2024
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