Individual
KAYLA MARIE MOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1830 S ALMA SCHOOL RD STE 122, MESA, AZ 85210-3087
(480) 855-0474
Mailing address
2255 W GERMANN RD APT 2144, CHANDLER, AZ 85286-7280
(925) 819-1705
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006979
AZ
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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