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Individual

TARA MARIE COBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
501 E. FRONT STREET, LARIMORE, ND 58251
(701) 343-6244
Mailing address
22 GARDEN CT NW, EAST GRAND FORKS, MN 56721-1238

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
684
ND
225XH1300X
Human Factors Occupational Therapist
684
ND
225XP0200X
Pediatric Occupational Therapist
684
ND

Other

Enumeration date
08/06/2007
Last updated
08/06/2007
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