Individual
KATHLEEN ANNE STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14505 W GRANITE VALLEY DR, SUN CITY WEST, AZ 85375-5795
(623) 975-8100
(623) 975-8222
Mailing address
31038 W ROOSEVELT ST, BUCKEYE, AZ 85396-5374
(856) 558-2880
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-003355
AZ
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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