Emily Anderson, MS OTR/L

Individual provider Active NPI Occupational Therapist · Mesa, AZ

NPI 1639701451 · NPPES record last updated Feb 10, 2020

Key facts

NPI
1639701451
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTH-008048 (AZ)
Practice address
3850 E Baseline Rd Ste 109
Mesa, AZ 85206-4403
Phone
(480) 818-4212
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OTH-008048AZMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTH-008048 AZ Yes

Addresses

Primary practice location

3850 E Baseline Rd Ste 109
Mesa, AZ 85206-4403

Mailing address

2455 E Broadway Rd Unit 101
Mesa, AZ 85204-1568

Other providers in Mesa, AZ

All providers in Mesa, AZ · Occupational Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.