Individual
TARA GALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1802 CADILLAC DR E, KOKOMO, IN 46902-2538
(765) 319-8420
Mailing address
1802 CADILLAC DR E, KOKOMO, IN 46902-2538
(765) 319-8420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003312A
IN
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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