Individual
TARA COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
825 GEORGE HECKER DR, SOUTH DAYTONA, FL 32119-3168
(386) 871-6294
Mailing address
1832 WESTERN RD, SOUTH DAYTONA, FL 32119-1934
(386) 871-6294
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15330
FL
Other
Enumeration date
08/08/2016
Last updated
04/22/2020
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