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Individual

KEVIN MICHAEL MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTD, OTR/L

Contact information

Practice address
1234 E NORTHERN AVE, PHOENIX, AZ 85020-4274
(602) 331-1470
Mailing address
20400 N 93RD PL, SCOTTSDALE, AZ 85255-6620
(480) 414-5945

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008214
AZ

Other

Enumeration date
08/04/2020
Last updated
08/04/2020
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