Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMARA THEODORE, M.A., O.T.R./L
Active Sole ProprietorTAMARA THEODORE, M.A., O.T.R./L is a Pediatric Occupational Therapist healthcare provider located in LINCOLN, California. NPI 1992005953 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · LINCOLN, CA
Registration Details
- NPI Number
- 1992005953
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2010 (15.795485470288 yrs)
- Last Updated
- Oct 25, 2010
- License
-
3240 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1176 TIGER LILY LNLINCOLN, CA, 956488122Browse CA providers · Browse ZIP 95648
- Phone
- 9164347117
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.