Individual
TIERRA LANGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E SOUTHERN AVE, SUITE 310, TEMPE, AZ 85282-5691
(602) 567-9881
Mailing address
1400 E SOUTHERN AVE, SUITE 310, TEMPE, AZ 85282-5691
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6335
AZ
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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