Individual
MRS. KELLY ANN ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7654 N 19TH AVE # QVE, PHOENIX, AZ 85021-7025
(602) 771-5300
Mailing address
6610 E ROSE MARIE LN, PHOENIX, AZ 85054-6750
(602) 989-3015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5887
AZ
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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