Organization
CONNECTED KIDS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN PASTENA OTD, OTR/L (OCCUPATIONAL THERAPIST)
(023) 413-7706
Entity
Organization
Contact information
Practice address
20588 S ELLSWORTH LOOP RD APT 3125, QUEEN CREEK, AZ 85142-0146
(602) 341-3770
(602) 560-0504
Mailing address
20588 S ELLSWORTH LOOP RD APT 3125, QUEEN CREEK, AZ 85142-0146
(602) 341-3770
(602) 560-0504
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
01/04/2024
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