# MRS. TARA CUNNINGHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508385287
- **Gender:** F
- **Credential:** MOT, OTR/L, ATP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XN1300X | Neurorehabilitation Occupational Therapist | OT12269 | FL | Yes |

## Other

- **Enumeration date:** 09/14/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | OT12269 | OT LICENSE NUMBER | FL |