Provider Demographics
NPI:1326342247
Name:ARIZONA KIDS THERAPY PLC
Entity Type:Organization
Organization Name:ARIZONA KIDS THERAPY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRILLI
Authorized Official - Suffix:
Authorized Official - Credentials:OTD
Authorized Official - Phone:480-788-4543
Mailing Address - Street 1:10203 E CINDER CONE TRL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-4581
Mailing Address - Country:US
Mailing Address - Phone:480-788-4543
Mailing Address - Fax:
Practice Address - Street 1:20801 N 90TH PL UNIT 253
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4558
Practice Address - Country:US
Practice Address - Phone:480-788-4543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty