Provider Demographics
NPI:1174926422
Name:LUGLIANI, TAMARA MARIA (MA, OTR)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:MARIA
Last Name:LUGLIANI
Suffix:
Gender:F
Credentials:MA, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5524 BEE CAVES RD
Mailing Address - Street 2:BLDG L
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5245
Mailing Address - Country:US
Mailing Address - Phone:512-327-4499
Mailing Address - Fax:512-327-4495
Practice Address - Street 1:5524 BEE CAVES RD
Practice Address - Street 2:BLDG L
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5245
Practice Address - Country:US
Practice Address - Phone:512-327-4499
Practice Address - Fax:512-327-4495
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116107225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics