Individual
TARA LYNN DUNAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
601 S. 6TH ST, LOVING, NM 88256
(575) 745-2079
Mailing address
1530 LA VINA CIR, CARLSBAD, NM 88220-8868
(575) 887-8454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1960
NM
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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