Individual
MRS. TARA A CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2120 S 64TH PLZ APT 104, OMAHA, NE 68106-2878
(402) 990-3191
Mailing address
2120 S 64TH PLZ APT 104, OMAHA, NE 68106-2878
(024) 990-3191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
634
NE
Other
Enumeration date
09/27/2012
Last updated
03/14/2024
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