Individual
YASHIRA MCCRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6917 S 11TH DR, PHOENIX, AZ 85041-6743
(602) 600-8748
Mailing address
188 E JEFFERSON ST APT 701, PHOENIX, AZ 85004-2899
(602) 600-8748
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
AZ
373H00000X
Day Training/Habilitation Specialist
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825324248
HOME COMMUNITY BASED SERVICES
AZ
Enumeration date
03/03/2022
Last updated
11/17/2023
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