Provider Demographics
NPI:1982170932
Name:HARRELL, RHONDA JANESSA (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:JANESSA
Last Name:HARRELL
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4521 W PARADISE LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-2729
Mailing Address - Country:US
Mailing Address - Phone:602-741-7700
Mailing Address - Fax:
Practice Address - Street 1:4521 W PARADISE LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-2729
Practice Address - Country:US
Practice Address - Phone:602-741-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist