Individual
KRISTIE ANN DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
340 N MOUNT VERNON AVE, PRESCOTT, AZ 86301-2620
(928) 771-0465
Mailing address
100 E MICHIGAN AVE STE 103, JACKSON, MI 49201-1406
(902) 308-4801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2976
AZ
Other
Enumeration date
06/16/2006
Last updated
02/24/2025
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