Provider Demographics
NPI:1629058144
Name:OVERCASH, GRACE (OT, CHT)
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:OVERCASH
Suffix:
Gender:F
Credentials:OT, CHT
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:BELLANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT, CHT
Mailing Address - Street 1:9097 E DESERT COVE AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6710
Mailing Address - Country:US
Mailing Address - Phone:480-860-4298
Mailing Address - Fax:480-860-0356
Practice Address - Street 1:3104 E INDIAN SCHOOL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6889
Practice Address - Country:US
Practice Address - Phone:602-224-9891
Practice Address - Fax:602-224-9808
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0451225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ135154Medicaid