Individual
TARA ENGELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 KNIGHT DR, SALTILLO, MS 38866-9182
(662) 840-0535
Mailing address
PO BOX 3592, TUPELO, MS 38803-3592
(662) 840-0535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1427
MS
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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