Search › Arizona › Occupational Therapy Assistant
Jennifer Deatherage
NPI 1619419009 · on the registry since 2016
Practice
- Address
- 2401 E Hunt Dr
Show Low, AZ 85901 - Phone
- (928) 537-5333
- Organisation at this address
- Ghulam Mustafa Llc
Haven Of Show Low, Llc
Haven Of Show Low Alf LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Occupational Therapy Assistant
224Z00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona