Individual
MRS. TARA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
10133 SHERRILL BLVD, KNOXVILLE, TN 37932-3347
(888) 531-2204
Mailing address
5007 BONNAVISTA DR, HERMITAGE, TN 37076-1832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5222
TN
Other
Enumeration date
06/29/2015
Last updated
02/06/2019
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