Individual
KACEY VARNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
60 E VERNON AVE, PHOENIX, AZ 85004-1337
(602) 528-3450
Mailing address
60 E VERNON AVE, PHOENIX, AZ 85004-1337
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTH-008954
AZ
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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