Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 0286 | AZ |
Y | 225XH1200X | Occupational Therapist - Hand | 0286 | AZ |
NPI | 1255561205 |
---|---|
Provider Name | Caren J Oberstein |
First Address | Tempe, AZ 85284-2359 |
Second Address | Tempe, AZ 85284-2359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2009 |
Last Update Date | 23/07/2009 |