Individual
TARA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
415 RODMAN RD, AUBURN, ME 04210-3942
(207) 782-2726
Mailing address
800 CENTER ST, AUBURN, ME 04210-6404
(207) 782-2726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TO2684
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3403
EE NUMBER
ME
Enumeration date
10/23/2012
Last updated
10/23/2012
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