Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 0246 | AZ |
NPI | 1245336882 |
---|---|
Provider Name | Ms. Marjorie Pomfret |
First Address | Scottsdale, AZ 85260-3665 |
Second Address | Scottsdale, AZ 85260-3665 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 24/09/2012 |