Individual
MRS. TARA AILEEN WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9106 ARBOR GLEN LN, CHARLOTTE, NC 28210-7987
(732) 330-4454
Mailing address
9106 ARBOR GLEN LN, CHARLOTTE, NC 28210-7987
(732) 330-4454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8062
NC
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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