Individual
MS. TARA JANINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
65 SCRIBNER AVE, NORWALK, CT 06854-2536
(203) 515-0444
Mailing address
65 SCRIBNER AVE, NORWALK, CT 06854-2536
(203) 515-0444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003832
CT
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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