Individual
TARA KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
128 EMERY ST, WILLIAMSPORT, PA 17701-5531
(570) 244-6945
Mailing address
128 EMERY ST, WILLIAMSPORT, PA 17701-5531
(570) 244-6945
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007755
PA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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