Healthcare Provider Details

I. General information

NPI: 1497674832
Provider Name (Legal Business Name): ABIGAIL ELISABETH LOWREY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5220 W INDIAN SCHOOL RD
PHOENIX AZ
85031-2605
US

IV. Provider business mailing address

949 S GOODYEAR BLVD E APT 213
GOODYEAR AZ
85338-4955
US

V. Phone/Fax

Practice location:
  • Phone: 623-691-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA-050227
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: