Individual
AMY KNELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 W SOUTHERN AVE, STE 10, MESA, AZ 85210-4938
(480) 835-0857
(480) 898-0138
Mailing address
930 W SOUTHERN AVE, STE 10, MESA, AZ 85210-4938
(480) 835-0857
(480) 898-0138
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3817
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178834
—
AZ
Enumeration date
03/07/2007
Last updated
03/11/2008
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