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NPI Code Detail

MEDICARE: KATRENA SUZANNE PRICE OTR/L

MEDICARE: KATRENA SUZANNE PRICE 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
1225X00000XOccupational Therapist5772AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457778177
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRENA SUZANNE PRICE OTR/L
Provider Business Mailing Address
First Line : 3271 E QUEEN CREEK RD STE 101
Second Line :
City : GILBERT
State : AZ
Zip : 85297-8511
Country : US
Telephone Number : 480-621-8361
Fax Number : 480-621-8513
Provider Business Practice Location Address
First Line : 3271 E QUEEN CREEK RD STE 101
Second Line :
City : GILBERT
State : AZ
Zip : 85297-8511
Country : US
Telephone Number : 480-621-8361
Fax Number : 480-621-8513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2014
Last Update Date : 03/26/2025

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Directions to “ KATRENA SUZANNE PRICE OTR/L” Practice Location

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