Individual
TARA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 334-1000
Mailing address
21 WESTPORT RD, WORCESTER, MA 01605-1043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10449
MA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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