Individual
TARA K DIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MORT/L
Contact information
Practice address
119 BETH ANN DR, WINFIELD, MO 63389-2001
(573) 318-4365
Mailing address
119 BETH ANN DR, WINFIELD, MO 63389-2001
(573) 318-4365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2016004144
MO
225X00000X
Occupational Therapist
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477046233
—
MO
Enumeration date
06/07/2018
Last updated
01/24/2022
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