Healthcare Provider Details

I. General information

NPI: 1194945139
Provider Name (Legal Business Name): DANA RENEE HUTCHINGS MS OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4045 E UNION HILLS DR STE 110
PHOENIX AZ
85050
US

IV. Provider business mailing address

4045 E UNION HILLS DR
PHOENIX AZ
85050-3386
US

V. Phone/Fax

Practice location:
  • Phone: 480-860-4533
  • Fax:
Mailing address:
  • Phone: 602-751-4949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2769
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: