Dare, Tegan Kathleen
Dare, Tegan Kathleen is an individual health care provider with primary practice located at 415 N Crescent Dr Suite 130, Beverly Hills CA 90210-4860. 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. Dare, Tegan Kathleen can be contacted via phone (310) 497-0383.Contact Information
Primary practice address
415 N Crescent Dr Suite 130
Beverly Hills CA 90210-4860
Phone: (310) 497-0383
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT 865 | California |
Profile Details
NPI number | 1558301846 |
---|---|
LBN Legal business name | Dare, Tegan Kathleen |
Credentials | OTR/L |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2006 |
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 | 1558301846 | NPPES |
California | Other | 1013058 | NBCOT |
California | Other | OT 865 | NBCOT |
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