Organization
KAREN A FAY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA M MANCHA (OFFICE MANAGER)
(928) 776-4349
Entity
Organization
Contact information
Practice address
3105 CLEARWATER DR STE B, PRESCOTT, AZ 86305-7166
(928) 776-4349
(928) 776-1369
Mailing address
3105 CLEARWATER DR STE B, PRESCOTT, AZ 86305-7166
(928) 776-4349
(928) 776-1369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
04/15/2009
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