National Provider Identifier Database

GRETE K CANNON, OT – NPI #1689938417
Hand


Contact Information

GRETE K CANNON, OT
3033 N 44TH ST STE 100
PHOENIX, AZ85018-7227
Phone: 602-631-3161
Fax: 602-631-3162
Website:
Specialty Taxonomy Code
* Hand 225XH1200X
Occupational Therapist 225X00000X

* Indicates primary specialty

NPI Profile & details for GRETE K CANNON

NPI Number 1689938417
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 06/26/2012
Last updated 09/07/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: 5441
  • AZ Medicaid: 806851
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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