NPI 1013100577

Robert C Stidham

Practitioner Occupational Therapist Mesa, AZ

Practice location

Address: 2919 S Ellsworth Rd Suite 111, Mesa, AZ 85212-2164
Phone: (704) 831-5065
Mailing address: 2725 Water Ridge Pkwy Suite 300, Charlotte, NC 28217-4580

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT2257 (AZ)

Other Occupational Therapist providers in Arizona →

Registry record

NPI: 1013100577
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2007
Record last updated: 25 Oct 2007

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.