Individual
KRAIG SCOTT STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L/COTA
Contact information
Practice address
1594 E CIELO AZUL WAY, SAN TAN VALLEY, AZ 85140-8419
(623) 332-9178
Mailing address
1594 E CIELO AZUL WAY, SAN TAN VALLEY, AZ 85140-8419
(623) 332-9178
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
046823
AZ
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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