Individual
MS. TARA BENITA QUARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2727 RHAWN ST APT 24B, PHILADELPHIA, PA 19152-3451
(267) 325-4400
Mailing address
2727 RHAWN ST APT 24B, PHILADELPHIA, PA 19152-3451
(267) 325-4400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09026700
NJ
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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