Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 0019 | AZ |
N | 225XH1200X | Occupational Therapist - Hand | 0019 | AZ |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0019 | AZ |
NPI | 1033409248 |
---|---|
Provider Name | Cyndi G Anthony |
First Address | Pearce, AZ 85625-0314 |
Second Address | Pearce, AZ 85625-6214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2011 |
Last Update Date | 10/04/2011 |