Provider Demographics
NPI:1346500147
Name:DESERT SOUNDS OCCUPATIONAL THERAPY
Entity Type:Organization
Organization Name:DESERT SOUNDS OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SADOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:480-497-3285
Mailing Address - Street 1:6124 E BROWN RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-4959
Mailing Address - Country:US
Mailing Address - Phone:480-497-3285
Mailing Address - Fax:480-833-2513
Practice Address - Street 1:6124 E BROWN RD
Practice Address - Street 2:SUITE 102
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-4959
Practice Address - Country:US
Practice Address - Phone:480-497-3285
Practice Address - Fax:480-833-2513
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DESERT SOUNDS AUDIOLOGY AND HEARING AID SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-25
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ66353Medicare PIN