Individual
TARA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-6960
Mailing address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-6960
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7659
NC
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
7659
NC
Other
Enumeration date
12/02/2014
Last updated
04/15/2026
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