Individual
MRS. TARA BETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
315 N WASHINGTON AVE STE 240, COOKEVILLE, TN 38501
(931) 854-1203
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(155) 916-5906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5831
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
01/18/2018
Last updated
09/30/2019
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