Provider Demographics
NPI:1578790515
Name:HAARER, ADA YUNG (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ADA
Middle Name:YUNG
Last Name:HAARER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ADA
Other - Middle Name:
Other - Last Name:YUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:8115 E INDIAN BEND RD
Mailing Address - Street 2:STE 123
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-4819
Mailing Address - Country:US
Mailing Address - Phone:480-951-6451
Mailing Address - Fax:480-951-6464
Practice Address - Street 1:8115 E INDIAN BEND RD
Practice Address - Street 2:STE 123
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-4819
Practice Address - Country:US
Practice Address - Phone:480-951-6451
Practice Address - Fax:480-951-6464
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4112225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist