Individual
DONNA TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6818 HIGHWAY 84, FERRIDAY, LA 71334-5102
(318) 757-7557
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
304429
LA
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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