Individual
TARA LEE BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
255 AVALANCHE LN, DRUMS, PA 18222-1143
(814) 312-6629
Mailing address
255 AVALANCHE LN, DRUMS, PA 18222-1143
(814) 312-6629
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006713
PA
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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