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1790119246
KELLY ORTH
MESA, AZ
NPI
1790119246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ 5625)
Enumeration Date
2013-09-02
Last Update Date
2013-10-24
Business Address
-- KELLY ORTH
110 W UNIVERSITY DR
MESA, AZ 85201-5818
Phone number: 480-668-1917
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Mailing Address
-- KELLY ORTH
1555 E LOVELAND LN
SAN TAN VALLEY, AZ 85140-3215
Phone number:
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