Individual
MRS. TARA BROOKE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29770 THREE NOTCH RD, SUITE 201, CHARLOTTE HALL, MD 20622
(301) 290-0800
(301) 290-1313
Mailing address
29770 THREE NOTCH RD, SUITE 201, CHARLOTTE HALL, MD 20622
(301) 290-0800
(301) 290-1313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06536
MD
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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