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NPI Code Detail

MEDICARE: KAREN RUDEL CLEEVES-ESTABROOK OTR/L

MEDICARE:   KAREN RUDEL CLEEVES-ESTABROOK  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
1174400000XSpecialist4419AZ

General Provider Information

NPI Number : 1780996017
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN RUDEL CLEEVES-ESTABROOK OTR/L
Provider Business Mailing Address
First Line : 9247 E MOUNTAIN SPRING RD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-6608
Country : US
Telephone Number : 480-513-4353
Fax Number : 480-419-8917
Provider Business Practice Location Address
First Line : 690 NORTH COFCO CT #260
Second Line : DESERT HAND THERAPY
City : PHOENIX
State : AZ
Zip : 85008-6473
Country : US
Telephone Number : 602-279-6905
Fax Number : 602-279-6934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 07/01/2010

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Directions to “ KAREN RUDEL CLEEVES-ESTABROOK OTR/L” Practice Location

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