Individual
MS. TARA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
275 E MAIN ST, FRANKFORT, KY 40621-1000
(502) 564-3756
Mailing address
231 JUDY DR, SHEPHERDSVILLE, KY 40165-7428
(502) 640-4903
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
172836
KY
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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