Kimberly Aston
Individual provider Active NPI Pediatric Occupational Therapist · Mesa, AZ
NPI 1114145372 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114145372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 2778 (AZ)
- Practice address
- 952 E Baseline Rd
Suite A106
Mesa, AZ 85204-6627 - Phone
- (480) 926-6309
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2778 | AZ | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2778 | AZ | Yes |
Addresses
Primary practice location
952 E Baseline Rd
Suite A106
Mesa, AZ 85204-6627
Mailing address
952 E Baseline Rd
Suite A106
Mesa, AZ 85204-6627
Other providers in Mesa, AZ
- Associated Medical Group, LLC.
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- Associated Radiologists LTD
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- Maria Ast
- Marie Noelle N Asu Takor
- At Direct Sports Medicine, LLC
- At Home Care Inc.
- At the Moment Health, LLC
- Ahmad Atallah
All providers in Mesa, AZ · Pediatric Occupational Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.