MEDICARE: DANIELLE DARBY-ASSABGUI OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OTH-008424	AZ

General Provider Information

NPI Number	:	1093384810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE DARBY-ASSABGUI OTR/L

Provider Business Mailing Address
First Line	:	3510 N CRAYCROFT RD APT 5304
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-7285
Country	:	US
Telephone Number	:	516-476-5466
Fax Number	:

Provider Business Practice Location Address
First Line	:	5145 E 5TH ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-2327
Country	:	US
Telephone Number	:	516-476-5466
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2021
Last Update Date	:	06/06/2024

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Directions to “ DANIELLE DARBY-ASSABGUI OTR/L” Practice Location

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