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NPI Code Detail

MEDICARE: REBECCA WALSH MOT, OTR/L

MEDICARE: REBECCA WALSH MOT, 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 Therapist007781AZ

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 : 1760830921
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA WALSH MOT, OTR/L
Provider Business Mailing Address
First Line : 3726 E CLOVIS AVE
Second Line :
City : MESA
State : AZ
Zip : 85206-1840
Country : US
Telephone Number : 623-466-2611
Fax Number :
Provider Business Practice Location Address
First Line : 7501 E THOMPSON PEAK PKWY
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-4525
Country : US
Telephone Number : 888-676-8171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2016
Last Update Date : 08/27/2021

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