Individual
TARA FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8284
MA
225X00000X
Occupational Therapist
Primary
8284
MA
Other
Enumeration date
06/11/2013
Last updated
03/05/2026
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