Individual
MRS. KELLY RENEE FILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10189 S. HACIENDA DR., GOODYEAR, AZ 85338
(480) 427-9695
Mailing address
10189 S. HACIENDA DR., GOODYEAR, AZ 85338
(480) 427-9695
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4631
AZ
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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