Individual
KATHERINE ELIZABETH DELOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
775 E WILLETTA ST, PHOENIX, AZ 85006-2723
(480) 581-3900
Mailing address
2595 S COMANCHE DR, CHANDLER, AZ 85286-4351
(678) 457-1418
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
OT-008763
AZ
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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