| Doctor Name: | DEB JEAN DEDECKER |
| NPI Number: | 1164509188 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS OTR/L |
| License Number: | OT LICENSE #2619 |
| Business Practice Address: | 9261 W Van Buren St Tolleson, AZ - 853532941 |
| Business Phone Number: | 6239369740 |
| Business Fax Number: | 6239075187 |
| Mailing Address: | 14300 N 83rd Ave, Apartment 2016 PEORIA |
| State: | AZ |
| Postal Code: | 853814624 |
| Phone Number: | 6237760159 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | OT LICENSE #2619 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |