Individual
TAMARA KORPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BRUCEWOOD RD, SOUTHERN PINES, NC 28387-5159
(910) 692-4928
Mailing address
175 WOODED ACRE WAY, CAMERON, NC 28326-0108
(609) 316-1890
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9236
NC
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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