Individual
TAMARA LYNN EVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2237 N 36TH ST, PHOENIX, AZ 85008-3001
(888) 873-4221
Mailing address
7330 164TH AVE SE, BARNEY, ND 58008-9640
(406) 670-5047
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
473
MT
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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