Theresa Rose Ditson
Occupational Therapist - Gerontology
3850 N Us Highway 89
Prescott
, Arizona 86301-8428
Theresa Rose Ditson
Occupational Therapist - Gerontology
3850 N Us Highway 89
Prescott
, Arizona 86301-8428
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Theresa Rose Ditson
- 1751 Boardwalk Ave
- Prescott, AZ
- Zip : 86301-5580
- Phone :
Second Address
- Theresa Rose Ditson
- 3850 N Us Highway 89
- Prescott, AZ
- Zip : 86301-8428
- Phone : (928) 771-8200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology |
National Provider Identifier
| NPI | 1235723214 |
|---|---|
| Provider Name | Theresa Rose Ditson |
| First Address | Prescott, AZ 86301-5580 |
| Second Address | Prescott, AZ 86301-8428 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2021 |
| Last Update Date | 21/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.