Individual
KALIE REGINATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 S LINDSAY RD #114, GILBERT, AZ 85297
(623) 396-5467
Mailing address
719 S PAUSTIAN CIR, APACHE JUNCTION, AZ 85120
(480) 249-1959
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5086
AZ
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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