Individual
KRISTY ANN DEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7540 N 19TH AVE, PHOENIX, AZ 85021-7967
(888) 873-4221
(888) 543-2289
Mailing address
523 MAPLE AVE, TOWER CITY, PA 17980
(717) 647-0427
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007300L
PA
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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