Individual
TANNER BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1830 S ALMA SCHOOL RD STE 122, MESA, AZ 85210-3087
(480) 855-0474
Mailing address
3139 S EUGENE, MESA, AZ 85212-3108
(480) 612-3630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008799
AZ
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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