Healthcare Provider Details

I. General information

NPI: 1982119582
Provider Name (Legal Business Name): WHITNEY BUESGENS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2017
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5452
US

IV. Provider business mailing address

7701 E OSBORN RD APT 222W
SCOTTSDALE AZ
85251-7470
US

V. Phone/Fax

Practice location:
  • Phone: 480-301-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7190
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: