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1043545817
MARY KATHRYN VANDERWORP
PHOENIX, AZ
NPI
1043545817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ 0409)
Enumeration Date
2009-10-12
Last Update Date
2009-11-18
Business Address
Ms. MARY KATHRYN VANDERWORP O.T.
6115 N 12TH ST UNIT #3
PHOENIX, AZ 85014-1717
Phone number: 602-993-4191
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Mailing Address
Ms. MARY KATHRYN VANDERWORP O.T.
6115 N 12TH ST UNIT #3
PHOENIX, AZ 85014-1717
Phone number: 602-993-4191
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