NPI 1114153087

Stephanie Leigh Gerdes, COTA

Practitioner Community Health Worker Mesa, AZ

Practice location

Address: 515 N Mesa Dr, Mesa, AZ 85201-5914
Phone: (480) 223-4900

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 2603 (AZ)

Other Community Health Worker providers in Arizona →

Registry record

NPI: 1114153087
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2009
Record last updated: 5 Jun 2009

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.