Individual
KRISTAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1641 E OSBORN RD, SUITE 1, PHOENIX, AZ 85016-7146
(602) 265-4124
Mailing address
1641 E OSBORN RD, SUITE 1, PHOENIX, AZ 85016-7146
(602) 265-4124
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4299
AZ
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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