Individual provider · Type 1 NPI

Benjamin Jeffrey Gross, OTR/L

Occupational Therapist · Phoenix, AZ

NPI number 1407101207 Active

Practice location

1190 E Missouri Ave, Ste 100
Phoenix, AZ 85014-2734

Mailing address

3915 N 54th Way
Phoenix, AZ 85018-4537

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X4648 (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 1407101207

Benjamin Jeffrey Gross, OTR/L's National Provider Identifier is 1407101207, issued on Jul 17, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 17, 2012.