Individual
TARA PAROLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
711 LUCAS DR, ATHENS, TX 75751-3445
(903) 675-8538
Mailing address
608 COLONIAL DR, ATHENS, TX 75751-3110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214228
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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