Individual
MRS. TARA LYN SHEARER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
359 RANDOLPH ST, PARKER CITY, IN 47368
(765) 468-8280
Mailing address
359 RANDOLPH ST, PARKER CITY, IN 47368
(765) 468-8280
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001591A
IN
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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