Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 0192 | AZ |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0192 | AZ |
NPI | 1245279280 |
---|---|
Provider Name | Mrs. Cara K Campbell |
First Address | Tucson, AZ 85747-9122 |
Second Address | Tucson, AZ 85747-9122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
537392 | (05) | AZ |