Individual
TARA DANIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
355 THORNBURG PARKWAY, BROWNSBURG, IN 46112-8010
(317) 852-7641
(317) 858-1292
Mailing address
355 THORNBURG PARKWAY, BROWNSBURG, IN 46112-8010
(317) 852-7641
(317) 858-1292
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31000903A
IN
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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