Individual
TARA ROSE LENCIONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(219) 201-5195
Mailing address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(219) 201-5195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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