Individual
MRS. KIMBERLY ANNE ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
38416 N 29TH AVE, DESERT HILLS, AZ 85086-9125
(623) 326-4302
Mailing address
38416 N 29TH AVE, DESERT HILLS, AZ 85086-9125
(623) 326-4302
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AZ1380
AZ
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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