Individual
CHANA MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10049 E DYNAMITE BLVD STE 110, SCOTTSDALE, AZ 85262-3694
(480) 419-0848
(480) 538-5258
Mailing address
310 E BARBARITA AVE, GILBERT, AZ 85234-4566
(602) 367-6495
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5388
AZ
Other
Enumeration date
08/05/2013
Last updated
08/06/2013
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