Individual
DIANE KIM TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4657
(580) 332-2323
Mailing address
1820 FRANKFORD AVE, PHILADELPHIA, PA 19125-2403
(609) 440-4685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019493
PA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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