Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 056004795 | IL |
Y | 225XG0600X | Occupational Therapist - Gerontology | OTH-004190 | AZ |
NPI | 1023020039 |
---|---|
Provider Name | Gail Abbey |
First Address | Tucson, AZ 85750-6257 |
Second Address | Tucson, AZ 85712-2167 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 21/10/2020 |