Individual
MISS TIFFANY DAWN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
5281 N 99TH AVE STE 200, GLENDALE, AZ 85305-3199
(623) 889-0411
(623) 889-0410
Mailing address
9097 E DESERT COVE AVE STE 110, SCOTTSDALE, AZ 85260-6276
(480) 551-4948
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4635
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326755
—
AZ
Enumeration date
04/19/2007
Last updated
12/10/2019
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