Individual
TINA TROY HOSTETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
16428 E KINGSTREE BLVD, FOUNTAIN HILLS, AZ 85268-5440
(480) 837-4565
Mailing address
2940 E BANNER GATEWAY DR SUITE 425, GILBERT, AZ 85234-2177
(480) 813-7900
(480) 813-7901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2616
AZ
Other
Enumeration date
12/04/2008
Last updated
09/03/2015
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