Individual
TARA ROSE MCCRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
126 PHOENIX AVE, BLDG. #2, LOWELL, MA 01852
(978) 453-8331
Mailing address
126 PHOENIX AVE, BLDG. #2, LOWELL, MA 01852
(978) 453-8331
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
85689
NH
Other
Enumeration date
07/02/2008
Last updated
07/29/2011
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