Individual
MS. MANISHA TARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2411 32ND ST SE, WASHINGTON, DC 20020-1401
(202) 525-6072
Mailing address
2411 32ND ST SE, WASHINGTON, DC 20020-1401
(202) 525-6072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010000725
DC
Other
Enumeration date
03/22/2012
Last updated
07/16/2012
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