Individual
TARA GOGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
750 HAMMOND DR, BUILDING 4, SUITE 100, ATLANTA, GA 30328-5532
(404) 459-9192
Mailing address
750 HAMMOND DR, BUILDING 4, SUITE 100, ATLANTA, GA 30328-5532
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006521
GA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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