Individual
MICHELLE KVAMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5543
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
838680
—
AZ
Enumeration date
08/22/2013
Last updated
10/03/2013
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