Healthcare Provider Details

I. General information

NPI: 1164747143
Provider Name (Legal Business Name): MARION CHRISTINE OCKENFELS MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 04/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 E ROSEMONTE DR
PHOENIX AZ
85024-2933
US

IV. Provider business mailing address

PO BOX 42285
PHOENIX AZ
85080
US

V. Phone/Fax

Practice location:
  • Phone: 602-476-4434
  • Fax:
Mailing address:
  • Phone: 602-476-4434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number07269
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: