KARLETTE RAESHAUN FORD

GILBERT, AZ
NPI1790040665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AZ  OTH-009793)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: IL  057.002017)
Enumeration Date2012-07-06
Last Update Date2024-11-08
Business Address
MISS KARLETTE RAESHAUN FORD OT
2314 S VAL VISTA DR STE 201
GILBERT, AZ 85295-5594
Phone number: 623-263-3966
Mailing Address
MISS KARLETTE RAESHAUN FORD OT
8705 E KIVA AVE
MESA, AZ 85209-5311
Phone number: 708-271-7880