Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 1806 | AZ |
NPI | 1033230321 |
---|---|
Provider Name | Deborah Anne Hauser |
First Address | Sedona, AZ 86336-4606 |
Second Address | Sedona, AZ 86336-4606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 08/07/2007 |