Individual
TARA LINETTE MCCORMICK
Active
Individual
TARA LINETTE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2096
NC
225XP0200X
Pediatric Occupational Therapist
OTL5915
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT0174
BLUECROSS BLUE SHIELD
MA
Enumeration date
03/14/2007
Last updated
07/11/2025
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