Provider Demographics
NPI:1851530364
Name:HILDRETH, DARLAS ARLOA (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DARLAS
Middle Name:ARLOA
Last Name:HILDRETH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8547 W PERSHING AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4858
Mailing Address - Country:US
Mailing Address - Phone:623-693-3906
Mailing Address - Fax:623-349-3519
Practice Address - Street 1:8547 W PERSHING AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4858
Practice Address - Country:US
Practice Address - Phone:623-693-3906
Practice Address - Fax:623-349-3519
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0457225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist