Individual
KAYLEE ELIZABETH STAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
18578 W AVRA VALLEY RD, MARANA, AZ 85653-8690
(520) 449-9630
Mailing address
18578 W AVRA VALLEY RD, MARANA, AZ 85653-8690
(520) 449-9630
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
047206
AZ
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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