Individual
TARA KRISTA MARCHAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1108 BASIL BRANCH CT, SAINT JOHNS, FL 32259-5260
(904) 434-5107
(904) 230-6823
Mailing address
1108 BASIL BRANCH CT, SAINT JOHNS, FL 32259-5260
(904) 434-5107
(904) 230-6823
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OT6407
FL
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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