Individual
TARA A OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 609-3000
(402) 609-3808
Mailing address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 609-3000
(402) 609-3808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
611
NE
Other
Enumeration date
08/06/2007
Last updated
10/22/2024
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