Provider Demographics
NPI:1134242795
Name:TURNER, TAMARA LYNN (OTR)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:LYNN
Last Name:TURNER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:LYNN
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:2332 W SELDON LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-4141
Mailing Address - Country:US
Mailing Address - Phone:619-733-5888
Mailing Address - Fax:
Practice Address - Street 1:2332 W SELDON LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-4141
Practice Address - Country:US
Practice Address - Phone:619-733-5888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4680225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation