Individual
MRS. KIM T BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2314 S VAL VISTA DR, GILBERT, AZ 85295-5570
(347) 992-4793
Mailing address
18724 E SWAN DR, QUEEN CREEK, AZ 85142-7990
(347) 992-4793
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4424
AZ
225XP0200X
Pediatric Occupational Therapist
Primary
4424
AZ
Other
Enumeration date
11/30/2010
Last updated
05/01/2026
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