Search › Arizona › 224Z00000X
Kimberly Kisner, COTA/L
NPI 1801304050 · on the registry since 2018
Practice
- Address
- 36457 N Gantzel Rd
San Tan Valley, AZ 85140 - Phone
- (480) 784-3270
- Organisation at this address
- Enticare Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona