MEDICARE: NATALIE SUVADA

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-007716	AZ

General Provider Information

NPI Number	:	1790248581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE SUVADA

Provider Business Mailing Address
First Line	:	8731 E VISTA DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85250-7445
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8731 E VISTA DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85250-7445
Country	:	US
Telephone Number	:	480-200-9920
Fax Number	:

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

Provider Enumeration Date	:	04/09/2019
Last Update Date	:	04/09/2019

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Directions to “ NATALIE SUVADA ” Practice Location

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