Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3435 | AZ |
N | 2251E1200X | Ergonomics | 3435 | AZ |
N | 225XE1200X | Ergonomics | 3435 | AZ |
N | 225XH1200X | Occupational Therapist - Hand | 3435 | AZ |
N | 225XP0200X | Occupational Therapist - Pediatrics | 3435 | AZ |
NPI | 1255470902 |
---|---|
Provider Name | Carrie Fancher |
First Address | Scottsdale, AZ 85254-3849 |
Second Address | Phoenix, AZ 85013-3474 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 16/09/2019 |