Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 5128 | AZ |
NPI | 1841790573 |
---|---|
Provider Name | Patricia Covert Stein |
First Address | Tucson, AZ 85749-9367 |
Second Address | Tucson, AZ 85718-6636 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2018 |
Last Update Date | 19/02/2018 |