Individual
KRISTY FACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4602 NORTH 24TH STREET, PHOENIX, AZ 85016
(602) 954-9178
Mailing address
1057 N PARKSIDE DR APT D103, TEMPE, AZ 85281-3395
(951) 206-9544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5868
AZ
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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