Individual
MS. CALLIE ROWE KITTREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16455 E AVENUE OF THE FOUNTAINS, FOUNTAIN HILLS, AZ 85268-8307
(480) 816-5805
Mailing address
1319 N HAROLD ST, TEMPE, AZ 85281-1822
(928) 301-7328
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
046656
AZ
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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