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General NPI Number Information
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NPI Number | 1760830921
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Entity Type | Individual
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Provider Name | REBECCA WALSH MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/28/2016
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 7501 E THOMPSON PEAK PKWY
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4525
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Country | US
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Telephone | 888-676-8171
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Fax |
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Provider Business Mailing Address
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Address Line | 3726 E CLOVIS AVE
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City | MESA
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State | AZ
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Zip | 85206-1840
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Country | US
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Telephone | 623-466-2611
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 007781
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License Number State | AZ
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