Individual
KRISTINA M FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8115 E INDIAN BEND RD, SCOTTSDALE, AZ 85250-4819
(480) 951-6451
Mailing address
3411 W FRANKFURT DR, CHANDLER, AZ 85226-1472
(480) 882-8481
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3039
AZ
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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