Individual
KATHRYN SHADEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2532 N 4TH ST # 481, FLAGSTAFF, AZ 86004-3712
(928) 226-1563
Mailing address
4150 W TACK ROOM, FLAGSTAFF, AZ 86005-2345
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
AZ
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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