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Organization
KING OF KINGS THERAPY CONSULTANTS LLC
Active
Organization
KING OF KINGS THERAPY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON KING OT/L (OT)
(623) 570-7955
Entity
Organization
Contact information
Practice address
10529 W EDGEMONT DR, AVONDALE, AZ 85392-4654
(623) 570-7955
Mailing address
10529 W EDGEMONT DR, AVONDALE, AZ 85392-4654
(623) 570-7955
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
NULL
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
08/11/2019
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