Individual
TAMMY EARLENE PREVATKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2470 S ARIZONA AVE, YUMA, AZ 85364-8520
(928) 344-8541
Mailing address
13493 E 51ST LN, YUMA, AZ 85367-6569
(928) 581-4100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA004869
AZ
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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