Individual
TARA OTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 S CHESTNUT DR, DRUMS, PA 18222-2052
(570) 233-4384
Mailing address
156 S CHESTNUT DR, DRUMS, PA 18222-2052
(570) 233-4384
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000069
PA
Other
Enumeration date
06/09/2011
Last updated
01/31/2013
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