Mr Siyanda Obed Mquqwana, OT - Occupational Therapist in San Luis, AZ

Mr Siyanda Obed Mquqwana, OT is a Occupational Therapist based in San Luis, Arizona. Mr Siyanda Obed Mquqwana is licensed to practice in Arizona (license number 2855) and his current practice location is 1453 N Main Street, Suite F, San Luis, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 627-6567.

NPI number for Mr Siyanda Obed Mquqwana is 1164557724 and his current mailing address is 1215 W 13th Pl, Yuma, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164557724.

Contact Information

Mr Siyanda Obed Mquqwana, OT
1453 N Main Street, Suite F,
San Luis, AZ 85349
(928) 627-6567
Not Available



Healthcare Provider's Profile

Full NameMr Siyanda Obed Mquqwana
GenderMale
SpecialityOccupational Therapist
Location1453 N Main Street, San Luis, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164557724
  • Provider Enumeration Date: 02/23/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Siyanda Obed Mquqwana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164557724NPI-NPPES
719643OtherAZAHCCCS PROVIDER ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 2855 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Siyanda Obed Mquqwana is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Siyanda Obed Mquqwana, OT
1215 W 13th Pl,
Yuma, AZ 85364-4480

Ph: (928) 317-0128
Mr Siyanda Obed Mquqwana, OT
1453 N Main Street, Suite F,
San Luis, AZ 85349

Ph: (928) 627-6567

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Occupational Therapist in San Luis, AZ


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