Provider Demographics
NPI:1629276431
Name:DRYDEN, NANCY MAY (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:MAY
Last Name:DRYDEN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:MAY
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:1000 S MAIN ST
Mailing Address - Street 2:FLORENCE UNIFIED SCHOOL DISTRICT
Mailing Address - City:FLORENCE
Mailing Address - State:AZ
Mailing Address - Zip Code:85132-8132
Mailing Address - Country:US
Mailing Address - Phone:520-866-3509
Mailing Address - Fax:
Practice Address - Street 1:301 E COMBS RD
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-9164
Practice Address - Country:US
Practice Address - Phone:480-987-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0279224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant