Provider Demographics
NPI:1578712279
Name:AREINOFF, EMILY KATE DAWSON (MA OTR/L)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:KATE DAWSON
Last Name:AREINOFF
Suffix:
Gender:F
Credentials:MA OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-6406
Mailing Address - Country:US
Mailing Address - Phone:520-271-6771
Mailing Address - Fax:
Practice Address - Street 1:1215 E 14TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-6406
Practice Address - Country:US
Practice Address - Phone:520-271-6771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4205225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ397656Medicaid