Individual
MRS. KATHRYN SUMPTER BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2054
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2054
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002726
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002726
OT AZ LICENSE NUMBER
AZ
Enumeration date
01/15/2007
Last updated
07/08/2007
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