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NPI Code Detail

MEDICARE: TAMERA STORY OTR/L

MEDICARE: TAMERA STORY OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XN1300XNeurorehabilitation Occupational TherapistOTH-008375AZ

General Provider Information

NPI Number : 1083576912
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMERA STORY OTR/L
Provider Business Mailing Address
First Line : 18002 N 12TH ST UNIT 20
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-1208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 222 W THOMAS RD STE 401
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4423
Country : US
Telephone Number : 970-260-1963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ TAMERA STORY OTR/L” Practice Location

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