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NPI Code Detail

MEDICARE: MS. TARA AUN RIVERA-ARMSTRONG MOT, OTR/L

MEDICARE:  MS. TARA AUN RIVERA-ARMSTRONG  MOT, 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
1225X00000XOccupational TherapistOTH-004508AZ

General Provider Information

NPI Number : 1629308093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TARA AUN RIVERA-ARMSTRONG MOT, OTR/L
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 5220 N DYSART RD BLDG C
Second Line :
City : LITCHFIELD PARK
State : AZ
Zip : 85340-3045
Country : US
Telephone Number : 623-244-9179
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2010
Last Update Date : 09/27/2024

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Directions to “ MS. TARA AUN RIVERA-ARMSTRONG MOT, OTR/L” Practice Location

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