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Individual
TARA WALSH
Active
Individual
TARA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
N/A
NY
Enumeration date
03/21/2022
Last updated
03/21/2022
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