Michael L. Simmons MS, OTR/L
Full Name
Michael Lewis Simmons MS, OTR/L
NPI Number
1093339731
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/28/2020
Specialties
(Taxonomies)Name
Code
225XE0001X
225XE1200X
225XF0002X
225XG0600X
225XH1200X
225XH1300X
225XL0004X
225XM0800X
225XN1300X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Licenses
State
Arizona
License Number
OTH-002760
Contact
Information
Purpose
Mailing
Location
Address
6751 S DANIELSON WAY
2451 E BASELINE RD
City
Chandler
Gilbert
State
AZ
AZ
Postal Code
85249-4624
85234-2471
Country
US
US
Telephone Number
(480) 295-5137
(480) 474-4173
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/28/2020