Individual
HELENE HERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1031 DETROIT AVE, KINGMAN, AZ 86401-6811
(928) 753-2273
Mailing address
7540 N 19TH AVE, SUITE 200, PHOENIX, AZ 85021-7967
(602) 324-6500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5809
AZ
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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