Healthcare Provider Details

I. General information

NPI: 1962231969
Provider Name (Legal Business Name): ALISON DREXLER OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1831 W ROSE GARDEN LN STE 4
PHOENIX AZ
85027-2725
US

IV. Provider business mailing address

42211 N 41ST DR STE 145
ANTHEM AZ
85086-3812
US

V. Phone/Fax

Practice location:
  • Phone: 602-808-9912
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTH-009680
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: