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Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN RODGERS OTR/L (OWNER)
(602) 881-2398
Entity
Organization

Contact information

Practice address
6701 W UNION HILLS DR, SUITE 2, GLENDALE, AZ 85308-8067
(602) 881-2398
Mailing address
6701 W UNION HILLS DR, SUITE 2, GLENDALE, AZ 85308-8067
(602) 881-2398

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4305
AZ

Other

Enumeration date
03/23/2009
Last updated
03/23/2009
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