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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639223654 | NPPES |
| Arizona | MEDICAID | 588585 |
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