Individual provider · NPI-1

Bertha Akilov

Occupational Therapist · Gilbert, AZ

NPI number1790134831
StatusActive
Last updated in NPPESApr 5, 2022

Details

NPI
1790134831
Entity type
Individual (NPI-1)
Name
Bertha Akilov
Sex
Female
Sole proprietor
No
Enumeration date
Jun 9, 2016
Certification date
Apr 5, 2022
Last updated
Apr 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOTH-008079AZYes
225X00000X Occupational Therapist020620NY

Practice location

3941 E Baseline Rd Ste 101
Gilbert, AZ 85234-2750

Phone 480-787-5387

Mailing address

3941 E Baseline Rd Ste 101
Gilbert, AZ 85234-2750

Phone 480-787-5387

Other practice locations

13720 Franklin Ave
Flushing, NY 11355-3871

Phone 718-445-5730

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