Individual
TARA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4389 S BROOKLAWN DR, NEW PALESTINE, IN 46163-9152
(317) 448-6518
Mailing address
4389 S BROOKLAWN DR, NEW PALESTINE, IN 46163-9152
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008143A
IN
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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