Individual
MRS. TARA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2541 PASS RD STE F, BILOXI, MS 39531
(228) 818-1211
Mailing address
251 JOHNSTON ST SE STE 200, DECATUR, AL 35601-2515
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1458
MS
Other
Enumeration date
07/05/2018
Last updated
01/07/2019
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