Individual
ANNA KRISTIN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
22150 W SUNDANCE PKWY, BUCKEYE, AZ 85326-5560
(623) 386-2286
Mailing address
1620 W SOUTHERN AVE APT 35, MESA, AZ 85202-4859
(252) 567-3345
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA046713
AZ
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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