Individual
SHAYNE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
1173 UNIVERSITY VLG, SALT LAKE CITY, UT 84108-3504
(801) 473-3232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007805
AZ
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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