Individual
KELLY DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
737 W GUADALUPE RD STE 111, MESA, AZ 85210-7716
(480) 259-7788
Mailing address
737 W GUADALUPE RD STE 111, MESA, AZ 85210-7716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5404
AZ
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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