Individual
MICHELLE TIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
06024
MD
225X00000X
Occupational Therapist
Primary
3904
AZ
225X00000X
Occupational Therapist
9393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538375407
—
AZ
Enumeration date
05/15/2007
Last updated
09/05/2018
Update your record
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