Individual
TARA DENISE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10435 DOWNSVILLE PIKE, HAGERSTOWN, MD 21740-1732
(301) 766-2800
Mailing address
741 WINWOOD DR, SAINT THOMAS, PA 17252-9700
(717) 369-0039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06169
MD
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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