Individual
BARBARA TENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 290-8185
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 290-8185
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
55212
AZ
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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