Individual
TARA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 N TEXAS AVE, GREENVILLE, SC 29611-5034
(864) 325-6833
Mailing address
4504 DIGBY CT, FAYETTEVILLE, NC 28306-4543
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6183
SC
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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