Individual
MS. TARA JILL ACTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1130 W DIMOND BLVD STE B, ANCHORAGE, AK 99515-1511
(205) 919-2228
Mailing address
1130 W DIMOND BLVD STE B, ANCHORAGE, AK 99515-1511
(205) 919-2228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
PHYO2055
AK
Other
Enumeration date
02/07/2011
Last updated
09/01/2020
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