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1396471827
TANNER BRANCH
MESA, AZ
NPI
1396471827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ OTH-008799)
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
TANNER BRANCH OTR/L
1830 S ALMA SCHOOL RD STE 122
MESA, AZ 85210-3087
Phone number: 480-855-0474
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Mailing Address
TANNER BRANCH OTR/L
3139 S EUGENE
MESA, AZ 85212-3108
Phone number: 480-612-3630
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