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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLEE JANETTE DESPAIN ELLISON, PT, DPT, C/NDT

Active Sole Proprietor

KIMBERLEE JANETTE DESPAIN ELLISON, PT, DPT, C/NDT is a Pediatric Occupational Therapy healthcare provider located in PHOENIX, Arizona. NPI 1326441940 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · PHOENIX, AZ

Registration Details

NPI Number
1326441940
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2014 (11.885423551031 yrs)
Last Updated
Apr 29, 2019
Licenses
PT60439302 (WA)
PT60439302 (WA)
LPT-30638 (AZ)
Sole Proprietor
Yes

Practice Information

Address
2302 N 15TH AVE
PHOENIX, AZ, 850071201
Browse AZ providers · Browse ZIP 85007
Phone
6232426908
Primary Specialty
Pediatric Occupational Therapy
2251P0200X

Other Pediatric Occupational Therapy Providers in PHOENIX, AZ

Name Credential NPI
MRS. LAURA SIMCHAK MOORE MPT 1255380853
HILARY PAIGE KEEN P.T. 1407943418
MS. LISA PINSON PT 1770647513
TAMIKO HIRASAWA PT 1801950316
MRS. KAREN MARIE LUKAS P.T. 1881744233
JENNIFER CHRISTINE CONTI P.T. 1609917533
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.