Individual
KELLY LYNN ROSTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R./L
Contact information
Practice address
12385 E KALIL DR, SCOTTSDALE, AZ 85259-3306
(480) 860-8363
Mailing address
12385 E KALIL DR, SCOTTSDALE, AZ 85259-3306
(480) 860-8363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1091
AZ
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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