Individual
MRS. TARA LYNN FALCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
74 KEMP RD, HAMPTON, CT 06247-2130
(860) 465-6633
Mailing address
74 KEMP RD, HAMPTON, CT 06247-2130
(860) 465-6633
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004614
CT
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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