Thaddeus Michael Dodge
Thaddeus Michael Dodge is an Occupational Therapy Assistant in Phoenix, Arizona. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
7540 N 19th Ave Ste 200Phoenix, AZ 85021-7967
Phone: (888) 873-4221
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X |
|---|
Record details
| NPI number | 1578169793 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 11, 2020 |
| Last updated in NPPES | December 11, 2020 |
| Certification date | December 11, 2020 |
| Mailing address | 7540 N 19th Ave Ste 200, Phoenix, AZ 85021-7967 |
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