Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3006 | AZ |
N | 225XL0004X | Low Vision | 3006 | AZ |
NPI | 1457798381 |
---|---|
Provider Name | Renee Therese Council |
First Address | Tucson, AZ 85713-2564 |
Second Address | Tucson, AZ 85749-8707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2013 |
Last Update Date | 01/06/2013 |