Individual
TARA SPERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10625 PACIFIC AVE S, STE B, TACOMA, WA 98444-6065
(253) 302-5074
Mailing address
9422 MCKINLEY AVE, TACOMA, WA 98445-2166
(253) 495-9848
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60096143
WA
Other
Enumeration date
10/29/2013
Last updated
03/11/2016
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