Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | 5409 | AZ |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5409 | AZ |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5409 | AZ |
NPI | 1831641620 |
---|---|
Provider Name | Andrea Fleischman |
First Address | Phoenix, AZ 85020-4917 |
Second Address | Gilbert, AZ 85233-5166 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2016 |
Last Update Date | 27/10/2016 |