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Individual

MS. TARA LATZO HOWELL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTL

Contact information

Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
3125 OLD CROW CT, LEXINGTON, KY 40502-2909
(859) 266-7338

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R0730
KY

Other

Enumeration date
04/17/2006
Last updated
07/08/2007
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