Chelsea Rae Tedford, COTA
Individual provider Active NPI Occupational Therapy Assistant · Willcox, AZ
NPI 1790404663 · NPPES record last updated Aug 24, 2022
Key facts
- NPI
- 1790404663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA-006897 (AZ)
- Practice address
- 1625 N Circle Rd
Willcox, AZ 85602 - Phone
- (520) 507-1627
- NPI assigned
- Aug 24, 2022
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA-006897 | AZ | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA-006897 | AZ | Yes |
Addresses
Primary practice location
1625 N Circle Rd
Willcox, AZ 85602
Mailing address
1990 N Ocotillo Rd
Benson, AZ 85602-8018
Phone (520) 216-8123
Other providers in Willcox, AZ
- William Straw
- Stronghold Emergency Physicians
- Sulphur Springs Medical Center
- Sunny Days Therapy LLC
- Heather Anne Symonds
- Walker Family Medicine PLC
- Dawn Kwader Walker
- Crystal Ward
- Craig White
- Willcox Pharmacy, LLC
All providers in Willcox, AZ · Occupational Therapy Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.