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Organization

HIGHER OCTAVE HEALING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYMLA EUBANKS MT-BC (CEO, DIRECTOR)
(480) 965-1082
Entity
Organization

Contact information

Practice address
200 EAST CURRY ROAD (NO MAIL HERE), #307, TEMPE, AZ 85281
(480) 965-1082
(480) 727-9697
Mailing address
PO BOX 7608, TEMPE, AZ 85281-0021
(480) 965-1082
(480) 727-9697

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225A00000X
Music Therapist
Primary
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
195678
AZ
05
331210
AZ
Enumeration date
01/19/2011
Last updated
02/24/2011
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