Individual
MISS KRISTIN MARIE NIEDBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8115 E INDIAN BEND RD, STE 123, SCOTTSDALE, AZ 85250-4819
(480) 951-6451
Mailing address
1825 W RAY RD, #2097, CHANDLER, AZ 85224-4056
(602) 615-1932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3245
AZ
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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