Provider Demographics
NPI:1235922287
Name:ARIZONA LOW VISION OCCUPATIONAL THERAPY PLC
Entity type:Organization
Organization Name:ARIZONA LOW VISION OCCUPATIONAL THERAPY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-924-8755
Mailing Address - Street 1:1830 S ALMA SCHOOL RD STE 131
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3088
Mailing Address - Country:US
Mailing Address - Phone:480-924-8755
Mailing Address - Fax:480-854-1864
Practice Address - Street 1:1830 S ALMA SCHOOL RD STE 131
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3088
Practice Address - Country:US
Practice Address - Phone:480-924-8755
Practice Address - Fax:480-854-1864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow VisionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1992062640OtherOCCUPATIONAL THERAPY