Individual provider · NPI-1

Rachel Ann Jackson Belanger, OTRL

Occupational Therapist · Tempe, AZ

NPI number1043366024
StatusActive
Last updated in NPPESSep 14, 2011

Details

NPI
1043366024
Entity type
Individual (NPI-1)
Name
Mrs. Rachel Ann Jackson Belanger
Credential
OTRL
Sex
Female
Sole proprietor
No
Enumeration date
Jan 25, 2007
Last updated
Sep 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist3831AZYes

Practice location

3311 S Holbrook Ln
Tempe, AZ 85282-5963

Phone 480-518-4602

Mailing address

3311 S Holbrook Ln
Tempe, AZ 85282-5963

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