Robert C Stidham II
Occupational Therapist in Mesa, AZ. Individual provider (NPI-1).
NPI number1013100577
StatusActive
Last updated in NPPESOct 25, 2007
Details
- NPI
- 1013100577
- Entity type
- Individual (NPI-1)
- Name
- Robert C Stidham II
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2007
- Last updated
- Oct 25, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT2257 | AZ | Yes |
Practice location
2919 S Ellsworth RdSuite 111
Mesa, AZ 85212-2164
Phone 704-831-5065
Mailing address
2725 Water Ridge PkwySuite 300
Charlotte, NC 28217-4580
Phone 704-831-5065
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All 191 Occupational Therapist providers in Mesa · All 13,507 providers in Mesa
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