Individual
EMILY KWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(702) 360-1137
Mailing address
9150 W INDIAN SCHOOL RD STE 130, PHOENIX, AZ 85037-2388
(480) 787-5387
(623) 232-3250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009633
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206722
—
AZ
Enumeration date
04/18/2023
Last updated
09/27/2024
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