NPI 1760101372
Positive Notes
Practice location
- Address
- 135 E Bernie Ln, Gilbert, AZ 85295-0103
- Phone
- (630) 808-1839
Authorised official
- Name
- Emily Derks
- Title
- Director
- Phone
- (630) 808-1839
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1760101372
- Entity type
- Organization
- NPI issued
- 25 Aug 2022
- Record last updated
- 25 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.