Healthcare Provider Details

I. General information

NPI: 1508083593
Provider Name (Legal Business Name): MARILYN ARAUJO OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARILYN SMITH OTR

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 N PALO SANTO DR
TUCSON AZ
85745-1089
US

IV. Provider business mailing address

2530 N PALO SANTO DR
TUCSON AZ
85745-1089
US

V. Phone/Fax

Practice location:
  • Phone: 520-792-0472
  • Fax:
Mailing address:
  • Phone: 520-792-0472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number0366
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: