Individual
TARA MARIE KRIEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 675-6421
Mailing address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 675-6421
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2426
SC
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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