Individual
TARA FORSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15209 N 8TH AVE, PHOENIX, AZ 85023-5282
(602) 237-5944
Mailing address
15209 N 8TH AVE, PHOENIX, AZ 85023-5282
(602) 237-5944
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2933
AZ
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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