Provider Demographics
NPI:1194179564
Name:RANK, BETH NAOMI (OTR/L)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:NAOMI
Last Name:RANK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 N 24TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-1004
Mailing Address - Country:US
Mailing Address - Phone:602-266-5976
Mailing Address - Fax:
Practice Address - Street 1:3021 S 35TH ST
Practice Address - Street 2:SUITE B1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-7236
Practice Address - Country:US
Practice Address - Phone:602-633-8682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5231225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist