Healthcare Provider Details

I. General information

NPI: 1346500147
Provider Name (Legal Business Name): DESERT SOUNDS OCCUPATIONAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2012
Last Update Date: 06/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6124 E BROWN RD SUITE 102
MESA AZ
85205-4959
US

IV. Provider business mailing address

6124 E BROWN RD SUITE 102
MESA AZ
85205-4959
US

V. Phone/Fax

Practice location:
  • Phone: 480-497-3285
  • Fax: 480-833-2513
Mailing address:
  • Phone: 480-497-3285
  • Fax: 480-833-2513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: GABRIELLE SADOWSKY
Title or Position: OWNER
Credential: AUD
Phone: 480-497-3285