Individual
MS. KELLY LYNN HEVENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
17212 N SCOTTSDALE RD, 2254, SCOTTSDALE, AZ 85255-9615
(602) 448-3522
(480) 584-4744
Mailing address
17212 N SCOTTSDALE RD, 2254, SCOTTSDALE, AZ 85255-9615
(602) 448-3522
(480) 584-4744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3745
AZ
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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