NPI 1063020972

Kaitlin Quan, CPO

Practitioner Prosthetist Phoenix, AZ

Practice location

Address: 1131 E Highland Ave, Phoenix, AZ 85014-3639
Phone: (602) 667-7827

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO03733 (AZ)

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Registry record

NPI: 1063020972
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2020
Record last updated: 16 Jul 2020

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.