Provider Demographics
NPI:1013053792
Name:BEVERLY C. THURBER AND ASSOCIATES
Entity Type:Organization
Organization Name:BEVERLY C. THURBER AND ASSOCIATES
Other - Org Name:BEVERLY C. THURBER, OTR
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:THURBER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:602-684-9175
Mailing Address - Street 1:950 W LAGUNA AZUL AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-7135
Mailing Address - Country:US
Mailing Address - Phone:602-684-9175
Mailing Address - Fax:480-730-1325
Practice Address - Street 1:950 W LAGUNA AZUL AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-7135
Practice Address - Country:US
Practice Address - Phone:602-684-9175
Practice Address - Fax:480-730-1325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ686248OtherPEDIATRIC THERAPY AGENCY