Individual
PHYLLIS KHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13400 E. SHEA BLVD., SCOTTSDALE, AZ 85259
(480) 301-8000
(860) 253-5030
Mailing address
13400 E. SHEA BLVD., SCOTTSDALE, AZ 85259
(480) 301-8000
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7458
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/31/2016
Last updated
10/15/2020
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