Individual
MRS. TARA LEE HENDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 VILLA DR, HURLEY, WI 54534-1523
(715) 561-3200
Mailing address
PO BOX 32, RAMSAY, MI 49959-0032
(906) 364-4271
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5202008050
MI
224Z00000X
Occupational Therapy Assistant
Primary
5220-27
WI
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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