Individual
MRS. TARA V PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
150 GIBSON RD, ATHENS, TX 75751-5611
(903) 677-5864
Mailing address
17521 US HIGHWAY 69 S, TYLER, TX 75703-5594
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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