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Individual

ANNE K. KNOOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4831 E HAMPTON ST, TUCSON, AZ 85712-2725
(317) 902-0743
Mailing address
4831 E HAMPTON ST, TUCSON, AZ 85712-2725
(317) 902-0743

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31004130A
IN
225X00000X
Occupational Therapist
4842
AZ
225X00000X
Occupational Therapist
OT60174150
WA
385HR2055X
Child Mental Illness Respite Care
Primary
BH5312
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BH5312
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
07/25/2011
Last updated
03/17/2018
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