Provider Demographics
NPI:1215075676
Name:OAGLEY, CHRISTINE RUTH (OTR L, CHT, LAC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:RUTH
Last Name:OAGLEY
Suffix:
Gender:F
Credentials:OTR L, CHT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E RADBURN ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-5738
Mailing Address - Country:US
Mailing Address - Phone:520-878-0488
Mailing Address - Fax:520-878-0488
Practice Address - Street 1:425 E RADBURN ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5738
Practice Address - Country:US
Practice Address - Phone:520-878-0488
Practice Address - Fax:520-878-0488
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0304171100000X
AZ573225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ573OtherOCCUPATIONAL THERAPY LICE
AZ0304OtherACUPUNCTURE LICENSE