Provider Demographics
NPI:1467698407
Name:ROHN, RAYANNA LYNN (MOT)
Entity Type:Individual
Prefix:MS
First Name:RAYANNA
Middle Name:LYNN
Last Name:ROHN
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44254 W RHINESTONE RD
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85239-9033
Mailing Address - Country:US
Mailing Address - Phone:209-620-7327
Mailing Address - Fax:
Practice Address - Street 1:1016 N 32ND ST
Practice Address - Street 2:BLDG D
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-5107
Practice Address - Country:US
Practice Address - Phone:602-914-3312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0032P225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist