Individual
KAILEY NICOLE HOPWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 N ARIZONA AVE, UNIT 20, MESA, AZ 85210
(480) 398-4280
Mailing address
2150 N ARIZONA AVE, UNIT 20, MESA, AZ 85210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
047128
AZ
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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