Individual provider · Type 1 NPI

Robert C. Stidham Ii

Occupational Therapist · Mesa, AZ

NPI number 1013100577 Active

Practice location

2919 S Ellsworth Rd, Suite 111
Mesa, AZ 85212-2164

Call (704) 831-5065 Map

Mailing address

2725 Water Ridge Pkwy, Suite 300
Charlotte, NC 28217-4580

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT2257 (AZ)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1013100577

Robert C. Stidham Ii's National Provider Identifier is 1013100577, issued on Aug 19, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Mesa, AZ. The record was last updated on Oct 25, 2007.