Individual
MELINDA TARBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003535
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003535
DPH
CT
Enumeration date
02/28/2019
Last updated
02/28/2019
Update your record
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