Individual
DR. LINDSEY JO KOHNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, OTD, OTR/L
Contact information
Practice address
1802 W PARKSIDE LN, PHOENIX, AZ 85027-1322
(602) 943-5472
Mailing address
5833 W COMET AVE, GLENDALE, AZ 85302-1311
(602) 809-1920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007536
AZ
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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