Individual
ROBIN LEE TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1100 E STATE RD, NEWCOMERSTOWN, OH 43832-9446
(740) 498-4444
Mailing address
960 DRESDEN ADAMSVILLE RD, DRESDEN, OH 43821-9417
(740) 754-3834
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4285
OH
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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