Individual
TARA JANE INGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
69 LANCASTER RD, WHITEFIELD, NH 03598-3052
(603) 837-2026
Mailing address
69 LANCASTER RD, WHITEFIELD, NH 03598-3052
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0292
NH
246Z00000X
Other Specialist/Technologist
0292
NH
Other
Enumeration date
07/03/2007
Last updated
03/14/2008
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