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Contact Information

ANGELA D PROCK
126 E MAIN ST STE C
PAYSON, AZ85541-5488
 Phone: 928-471-3445
 Fax: 928-471-1015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ANGELA D PROCK · (Female)

NPI # 1144729286
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2018
Last updated 01/10/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 2652
Hospital affiliation(s) Not Available
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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