Individual
MS. COLLEEN CLEMONS REINBOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 841-7421
Mailing address
4220 N 33RD PL, PHOENIX, AZ 85018-4730
(602) 841-7421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0324
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
573693
—
AZ
Enumeration date
02/07/2007
Last updated
07/09/2007
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