Individual
MISS ANNA KATHERINE GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1951 W CAMELBACK RD, PHOENIX, AZ 85015-3403
(602) 601-2401
Mailing address
2307 W HUNTER CT, PHOENIX, AZ 85085-2773
(623) 910-4732
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
050092
AZ
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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