Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 046933 | AZ |
NPI | 1003582479 |
---|---|
Provider Name | Rebekah Grace Robinson |
First Address | Sahuarita, AZ 85629-8768 |
Second Address | Tucson, AZ 85716-3404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2021 |
Last Update Date | 17/08/2021 |