Cerveny, Tara Lyn

Cerveny, Tara Lyn is an sole proprietor health care provider with primary practice located at 33606 N 60Th St , Scottsdale AZ 85262-5243. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Cerveny, Tara Lyn can be contacted via phone (480) 575-2011.

Contact Information

Primary practice address
33606 N 60Th St Scottsdale AZ 85262-5243
Phone: (480) 575-2011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2775 Arizona

Profile Details

NPI number 1639223654
LBN Legal business name Cerveny, Tara Lyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639223654 NPPES
Arizona MEDICAID 588585

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