Individual
HARLIE KANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 W FRYE RD, CHANDLER, AZ 85224-6178
(480) 812-7000
Mailing address
1525 W FRYE RD, CHANDLER, AZ 85224-6178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1628
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354499
—
AZ
Enumeration date
01/23/2008
Last updated
01/23/2008
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