Individual
NICOLE D KUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
300 W CLARENDON AVE STE 285, PHOENIX, AZ 85013-3474
(602) 279-6905
(602) 279-6934
Mailing address
300 W CLARENDON AVE STE 285, PHOENIX, AZ 85013-3474
(602) 279-6905
(602) 279-6934
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8140
AZ
225X00000X
Occupational Therapist
Z12164
LA
225XH1200X
Hand Occupational Therapist
720
ND
225XH1200X
Hand Occupational Therapist
Z12164
LA
Other
Enumeration date
10/18/2006
Last updated
08/24/2020
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