Individual
TARA MAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
400 BUCKEYE ST, ROCKFORD, OH 45882-9267
(419) 363-3045
Mailing address
812 W COLUMBIA ST, ROCKFORD, OH 45882-9144
(419) 790-9076
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2468
OH
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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