Tamera Newberry, CP, COA

NPI #1932445095 in Imperial, Missouri

Provider Information

NPI Number: 1932445095
Entity Type: Individual
Name: Tamera Newberry, CP, COA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: CP, COA
Enumeration Date: Dec 18, 2012
Last Updated: Dec 18, 2012

Practice Location

Address: 5248 DARKMOOR LN
City: Imperial
State: Missouri
ZIP Code: 63052-3036
Phone: (314) 560-4060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary
Orthotic Fitter	225000000X

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