Individual
TARA FREDENBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
30 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2630
(413) 533-7140
(413) 538-9757
Mailing address
30 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2630
(413) 533-7140
(413) 538-9757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225X00000X
Occupational Therapist
Primary
—
MA
Other
Enumeration date
07/19/2016
Last updated
09/30/2019
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