Individual
MRS. TARA ORLENA TAPP KOLODEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
419 N SEMINARY ST, MADISONVILLE, KY 42431-1515
(270) 821-5564
(270) 821-6211
Mailing address
60 SOUTH BERNARD STREET, NEBO, KY 42441
(270) 871-0446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A2847
KY
Other
Enumeration date
08/20/2008
Last updated
08/22/2008
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