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Individual

ANITA KRATZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
8610 N 19TH AVE, PHOENIX, AZ 85021-4203
(602) 347-2600
Mailing address
PO BOX 2674, PEORIA, AZ 85380-2674

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1883
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
558645
AZ
Enumeration date
04/13/2007
Last updated
07/09/2007
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