Individual
TARA KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 THOMAS RUN RD, BEL AIR, MD 21015-1616
(410) 638-3840
Mailing address
808 LAGRANGE RD, STREET, MD 21154-1104
(144) 397-7735
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
05999
MD
Other
Enumeration date
04/16/2015
Last updated
08/31/2021
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