Healthcare Provider Details

I. General information

NPI: 1083760870
Provider Name (Legal Business Name): DEBORAH BLAIR GYORFFY OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17999 W SURPRISE FARMS LOOP SOUTH
SURPRISE AZ
85388
US

IV. Provider business mailing address

13569 W CARIBBEAN LN
SURPRISE AZ
85379-8331
US

V. Phone/Fax

Practice location:
  • Phone: 623-876-7388
  • Fax:
Mailing address:
  • Phone: 623-337-4167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3543
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: