Individual
KAITLYN ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12175 W MCDOWELL RD APT 4310, AVONDALE, AZ 85392-5324
(502) 435-4674
Mailing address
12175 W MCDOWELL RD APT 4310, AVONDALE, AZ 85392-5324
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
353577
AZ
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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