Provider Demographics
NPI:1760511372
Name:OSTROM, DEBORAH SHIRLEY (DPT)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:SHIRLEY
Last Name:OSTROM
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24026 N 84TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3514
Mailing Address - Country:US
Mailing Address - Phone:480-626-4269
Mailing Address - Fax:
Practice Address - Street 1:37061 N STONEWARE DR
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-5290
Practice Address - Country:US
Practice Address - Phone:480-415-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1529225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist