Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3957 | AZ |
NPI | 1003009200 |
---|---|
Provider Name | Teresa Ramona Karjalainen |
First Address | Tucson, AZ 85719-4936 |
Second Address | Tucson, AZ 85719-5813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2007 |
Last Update Date | 21/08/2007 |