Provider Demographics
NPI:1306928502
Name:MARSHA DUNN KLEIN
Entity type:Organization
Organization Name:MARSHA DUNN KLEIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:DUNN
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, OTR/L
Authorized Official - Phone:520-297-8886
Mailing Address - Street 1:6680 N CALLE LOMITA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6963
Mailing Address - Country:US
Mailing Address - Phone:520-297-8886
Mailing Address - Fax:520-797-9171
Practice Address - Street 1:6680 N CALLE LOMITA
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6963
Practice Address - Country:US
Practice Address - Phone:520-297-8886
Practice Address - Fax:520-797-9171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0213-OCCUPATIONAL TH174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0089010OtherBLLUE CROSS BLUE SHIELD