Healthcare Provider Details

I. General information

NPI: 1710681333
Provider Name (Legal Business Name): ZOE HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 S VAL VISTA DR STE A111
GILBERT AZ
85297-7319
US

IV. Provider business mailing address

3530 S VAL VISTA DR STE A111
GILBERT AZ
85297-7319
US

V. Phone/Fax

Practice location:
  • Phone: 480-608-0058
  • Fax: 951-266-5759
Mailing address:
  • Phone: 480-608-0058
  • Fax: 951-266-5759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: WENDY NELSON DAVIS
Title or Position: OWNER
Credential: FNP
Phone: 480-608-0058