NPI 1043945074

Kristen Dicicco, OTDOT

Practitioner Occupational Therapist Goodyear, AZ

Practice location

Address: 790 N Estrella Pkwy STE C, Goodyear, AZ 85338-9290
Phone: (602) 765-4348
Fax: (623) 233-6567
Mailing address: 300 W Clarendon Ave STE 285, Phoenix, AZ 85013-3474

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OTC9339 (AZ)

Other Occupational Therapist providers in Arizona →

Registry record

NPI: 1043945074
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2022
Record last updated: 22 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.