Individual
ANDREA TERESE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 WESTERN AVE, KINGMAN, AZ 86401-0951
(928) 718-0718
Mailing address
2701 MARLENE AVE, KINGMAN, AZ 86401-5356
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5094
AZ
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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