Angela Dawn Prock
Occupational Therapist in Payson, AZ. Individual provider (NPI-1).
NPI number1144729286
StatusActive
Last updated in NPPESJan 10, 2025
Details
- NPI
- 1144729286
- Entity type
- Individual (NPI-1)
- Name
- Angela Dawn Prock
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2018
- Certification date
- Jan 10, 2025
- Last updated
- Jan 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225XH1200X | Occupational Therapist, Hand | 2652 | AZ |
Practice location
126 E Main St Ste CPayson, AZ 85541-5488
Phone 928-471-3445 · Fax 928-471-1015
Mailing address
126 E Main St Ste CPayson, AZ 85541-5488
Phone 928-471-3445 · Fax 928-471-1015
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Other Occupational Therapist providers in Payson, AZ
- Karin M HeatonNPI 1598210684
- Denise Miller, OTRNPI 1619305364
- Richard Brian Staudt, OTR/LNPI 1144220948
- Karen M. WatersNPI 1568544724
All 5 Occupational Therapist providers in Payson · All 401 providers in Payson
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