Provider Demographics
NPI:1780996017
Name:CLEEVES-ESTABROOK, KAREN RUDEL (OTR/L)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:RUDEL
Last Name:CLEEVES-ESTABROOK
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 1:9247 E MOUNTAIN SPRING RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6608
Mailing Address - Country:US
Mailing Address - Phone:480-513-4353
Mailing Address - Fax:480-419-8917
Practice Address - Street 1:690 NORTH COFCO CT #260
Practice Address - Street 2:DESERT HAND THERAPY
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-6473
Practice Address - Country:US
Practice Address - Phone:602-279-6905
Practice Address - Fax:602-279-6934
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4419174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist