Individual
GINA NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
551 S HIGLEY RD, MESA, AZ 85206-2148
(480) 892-9777
(480) 635-0222
Mailing address
551 S HIGLEY RD, MESA, AZ 85206-2148
(480) 892-9777
(480) 635-0222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1832
AZ
225XP0200X
Pediatric Occupational Therapist
Primary
1832
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
645864
—
AZ
Enumeration date
11/29/2007
Last updated
11/29/2007
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