Kristine Elayne Boetel COTAL

NPI 1144381963 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1144381963
Gender Female
Enumeration Date 12/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2220 S COUNTRY CLUB
#104
MESA AZ, 85210, US
Phone (480) 820-6366
Fax (480) 820-0462
Business Location
PO BOX 6397
CHANDLER AZ, 85246, US
Phone (480) 820-6366
Fax (480) 820-0462
Toxanomy
Taxonomy Code 224Z00000X
License State Arizona
License Number 1909
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According to our database, Ms. Kristine Elayne Boetel COTAL NPI is 1144381963, taxonomy code is 224Z00000X and license number is 1909, license state is located at Arizona. Kristine Elayne Boetel COTAL physically located at 2220 S Country Club, Mesa AZ, 85210. NPI Number Kristine Elayne Boetel COTAL has the Individual type.

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1144381963 NPI number is provided on an as is basis without warranty of any kind. 1144381963 is maintained by the National Plan & Provider Enumeration System. The contents of Kristine Elayne Boetel COTAL are for informational purposes only.