Individual
MS. AMBER GRACE TAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R/L
Contact information
Practice address
10067 SOUTH AVE., 10E #46, YUMA, AZ 85365
(605) 430-9361
Mailing address
33 OLD BOSTON RD, TOPSFIELD, MA 01983-2509
(207) 615-3808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10967
NC
225X00000X
Occupational Therapist
4003
AZ
Other
Enumeration date
03/25/2008
Last updated
06/20/2018
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