Provider Demographics
NPI:1437551983
Name:CURBITA, BEATRICE BUSTAMANTE
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:BUSTAMANTE
Last Name:CURBITA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6983 S HARRIER LOOP
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-8614
Mailing Address - Country:US
Mailing Address - Phone:520-440-2572
Mailing Address - Fax:
Practice Address - Street 1:6983 S HARRIER LOOP
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85756-8614
Practice Address - Country:US
Practice Address - Phone:520-440-2572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5551224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant