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Individual
MRS. TARISA MARIE TUGUN
Active
Individual
MRS. TARISA MARIE TUGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3621
NM
225X00000X
Occupational Therapist
Primary
5201004575
MI
225X00000X
Occupational Therapist
9153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201004575
STATE OF MICHIGAN OCCUPATIONAL THERAPIST REGISTRATION
MI
Enumeration date
01/19/2007
Last updated
11/22/2016
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