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MRS. TERESA BOURNE

Pediatrics >> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1285773697

Individual Registrant:
MRS. TERESA  BOURNE 
Gender: F
Sole Proprietor

Location and contact information for practice:
11279 W GRIER RD  MARANA, AZ 85653-9609 US
Tel: 520-682-4782  Fax: --

Contact information for business:
6255 W INA RD  TUCSON, AZ 85743-9766 US
Tel: --  Fax: --

Registration Information:
NPI: 1285773697
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
Pediatrics
AZ0050

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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