Individual
TARA GEHRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 ROOT RD, WESTFIELD, MA 01085-9801
(413) 568-3942
Mailing address
9 POMEROY MEADOW EXT, SOUTHAMPTON, MA 01073-9573
(413) 433-7154
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
9353
MA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9353
PTA LICENSE
MA
Enumeration date
07/20/2017
Last updated
05/03/2022
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