Provider Demographics
NPI:1467063933
Name:ENGELS, NAOMI ANN (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:ANN
Last Name:ENGELS
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:ANN
Other - Last Name:BARNHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4441 N 123RD DR
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-6790
Mailing Address - Country:US
Mailing Address - Phone:623-498-0076
Mailing Address - Fax:
Practice Address - Street 1:6315 W PORT AU PRINCE LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-3217
Practice Address - Country:US
Practice Address - Phone:623-412-4550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-008182225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist