Individual
TARA FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WALNUT ST, NEWTON, MA 02460-1314
(617) 559-9360
Mailing address
6 PROSPECT ST, WINCHESTER, MA 01890-3030
(508) 875-9400
(508) 875-9408
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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