Individual
DAMON KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10529 W EDGEMONT DR, AVONDALE, AZ 85392-4654
(623) 936-5696
Mailing address
10529 W EDGEMONT DR, AVONDALE, AZ 85392-4654
(623) 936-5696
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3312
AZ
Other
Enumeration date
08/25/2007
Last updated
08/25/2007
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