Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 4680 | AZ |
NPI | 1134242795 |
---|---|
Provider Name | Tamara Lynn Turner |
First Address | Phoenix, AZ 85021-4141 |
Second Address | Phoenix, AZ 85021-4141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 30/11/2010 |