Individual
TARA SOUDANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-1740
Mailing address
1374 FILBERT ST, SAN FRANCISCO, CA 94109-1735
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
13933
CA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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