Individual
TATE SHIMON
Active
Individual
TATE SHIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5805
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174932768
NPI
AZ
Enumeration date
08/07/2014
Last updated
01/29/2016
Update your record
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