Individual
MRS. TARA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
416 KINGSTON RD, ORELAND, PA 19075-2005
(215) 517-7199
Mailing address
416 KINGSTON RD, ORELAND, PA 19075-2005
(215) 517-7199
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OC006589L
PA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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