Provider Demographics
NPI:1659182848
Name:UTTECH, EMMALEE (OTR/L)
Entity type:Individual
Prefix:
First Name:EMMALEE
Middle Name:
Last Name:UTTECH
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 1:4100 S LINDSAY RD UNIT 113-5
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-1506
Mailing Address - Country:US
Mailing Address - Phone:480-219-3953
Mailing Address - Fax:
Practice Address - Street 1:4100 S LINDSAY RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-1506
Practice Address - Country:US
Practice Address - Phone:608-346-8259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ009839225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist