Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 4569 | AZ |
NPI | 1265756811 |
---|---|
Provider Name | Margaret Allison Richards |
First Address | Phoenix, AZ 85021-7967 |
Second Address | Phoenix, AZ 85021-7967 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2010 |
Last Update Date | 22/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9105000935 | HAND THERAPY CERTIFICATION COMMISSION, INC. (01) |