Individual
MRS. TARA ROSE BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
145 MIDDLE ST, SUITE 1101, LAKE MARY, FL 32746-3594
(407) 323-6955
Mailing address
145 MIDDLE ST, SUITE 1101, LAKE MARY, FL 32746-3594
(407) 323-6955
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15288
FL
Other
Enumeration date
06/22/2016
Last updated
10/10/2017
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