Individual
MRS. TARA M WALDHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(803) 641-2624
Mailing address
222 WALNUT LN, NORTH AUGUSTA, SC 29860-9215
(803) 279-6110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2551
SC
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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