Individual
TARA HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2114 E FAIRVIEW AVE, JOHNSON CITY, TN 37601-2858
(423) 928-6464
(423) 232-7970
Mailing address
PO BOX 191, JOHNSON CITY, TN 37605-0191
(423) 928-6464
(423) 232-7970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006770
VA
225X00000X
Occupational Therapist
Primary
4316
TN
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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