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Individual
TARA HAUGEN
Active
Individual
TARA HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CBIS
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019391
NY
225X00000X
Occupational Therapist
17214
CA
225X00000X
Occupational Therapist
335417
PA
225X00000X
Occupational Therapist
OC013709
PA
Other
Enumeration date
12/12/2014
Last updated
11/02/2022
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