Tugun, Tarisa Marie
Tugun, Tarisa Marie is an individual health care provider with primary practice located at 1428 Brookfield Dr , Ann Arbor MI 48103-6085. 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. Tugun, Tarisa Marie can be contacted via phone (586) 703-6316.Contact Information
Primary practice address
1428 Brookfield Dr
Ann Arbor MI 48103-6085
Phone: (586) 703-6316
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 9153 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 5201004575 | Michigan |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 3621 | New Mexico |
Profile Details
| NPI number | 1245383637 |
|---|---|
| LBN Legal business name | Tugun, Tarisa Marie |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Nov 22nd, 2016 - about 8 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 | 1245383637 | NPPES |
| Michigan | Other | 5201004575 | STATE OF MICHIGAN OCCUPATIONAL THERAPIST REGISTRATION |
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