Individual
KATHRYN MARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3160 STILLWATER DR, PRESCOTT, AZ 86305-7151
(805) 231-2507
Mailing address
1241 LOUIE ST, PRESCOTT, AZ 86301-7604
(805) 231-2507
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-050008
AZ
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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