Organization
PREMIER PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIENNE CAROL MEANGER MHS, OTR/L (SOLE PROPRIETOR)
(520) 977-8924
Entity
Organization
Contact information
Practice address
7803 E MARQUISE DR, TUCSON, AZ 85715-3773
(520) 977-8924
(520) 742-2082
Mailing address
7803 E. MARQUISE DRIVE, TUCSON, AZ 85715-3773
(520) 977-8924
(520) 721-4948
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2363
AZ
Other
Enumeration date
03/31/2008
Last updated
06/04/2009
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