Individual
MRS. TARA ANN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
437 E CAMBRIDGE AVE, GREENWOOD, SC 29646-2244
(864) 223-1950
(864) 330-3001
Mailing address
134 FOLLY BEND DR, GREENWOOD, SC 29649-8533
(864) 229-5015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2818
SC
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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