Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER DEATHERAGE
ActiveJENNIFER DEATHERAGE is a Occupational Therapy Assistant healthcare provider located in SHOW LOW, Arizona. NPI 1619419009 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · SHOW LOW, AZ
Registration Details
- NPI Number
- 1619419009
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2016 (9.7745468746654 yrs)
- Last Updated
- Nov 16, 2016
- License
-
6718 (AZ)
Practice Information
- Address
-
2401 E HUNT DRSHOW LOW, AZ, 859017920Browse AZ providers · Browse ZIP 85901
- Phone
- 9285375333
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in SHOW LOW, AZ
| Name | Credential | NPI |
|---|---|---|
| MONA WOLF | COTA/L | 1013222595 |
| JESUS HINOJOSA | — | 1639594039 |
| RUTH FLETCHER | — | 1609296227 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.