Individual
TARA NARINE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1380 CHARLES DR, LONGMONT, CO 80503-2354
(720) 666-7691
Mailing address
1371 HECLA DR STE D130, LOUISVILLE, CO 80027-2318
(303) 963-5582
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0004647
CO
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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