Individual
JACOB DARRALD KLIMOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4475 E KNOX RD, PHOENIX, AZ 85044-4848
(480) 893-1200
Mailing address
6426 S WILSON ST, TEMPE, AZ 85283-3513
(602) 573-4943
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008393
AZ
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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