Healthcare Provider Details

I. General information

NPI: 1114220050
Provider Name (Legal Business Name): KULINDA ROLLINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2010
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 E MCDOWELL RD STE 204
PHOENIX AZ
85006-2665
US

IV. Provider business mailing address

1301 E MCDOWELL RD STE 204
PHOENIX AZ
85006-2665
US

V. Phone/Fax

Practice location:
  • Phone: 602-253-6259
  • Fax: 602-254-1153
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: