Individual
TARA TARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
101 GREEN CEDAR LN, CHAPEL HILL, NC 27517-7222
(919) 619-6140
Mailing address
5518 LAKE ELTON RD, DURHAM, NC 27713-1704
(919) 619-6140
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12694
NC
Other
Enumeration date
06/15/2021
Last updated
11/18/2021
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