Individual
REGAN KAELLE LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10304 N HAYDEN RD STE 115, SCOTTSDALE, AZ 85258-1218
(480) 429-5266
(480) 429-5297
Mailing address
1860 N 95TH LN STE 105, PHOENIX, AZ 85037-4333
(480) 429-5266
(480) 429-5297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009566
AZ
Other
Enumeration date
02/06/2024
Last updated
04/03/2024
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