Individual
MRS. KIMBERLY ANN SEARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3401 LOCKWOOD DR, LAKESIDE, AZ 85929-5613
(602) 718-6750
Mailing address
PO BOX 1962, LAKESIDE, AZ 85929-1962
(602) 718-6750
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2913
NM
224Z00000X
Occupational Therapy Assistant
3165
CA
224Z00000X
Occupational Therapy Assistant
Primary
6824
AZ
Other
Enumeration date
04/15/2017
Last updated
04/15/2017
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