Provider Demographics
NPI:1164747143
Name:OCKENFELS, MARION CHRISTINE (MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:MARION
Middle Name:CHRISTINE
Last Name:OCKENFELS
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 42285
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85080
Mailing Address - Country:US
Mailing Address - Phone:602-476-4434
Mailing Address - Fax:
Practice Address - Street 1:1030 E ROSEMONTE DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-2933
Practice Address - Country:US
Practice Address - Phone:602-476-4434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA07269225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist