Individual provider · NPI-1

Tara Jill Acton, OTR/L

Occupational Therapist · Anchorage, AK

NPI number1538465653
StatusActive
Last updated in NPPESSep 1, 2020

Details

NPI
1538465653
Entity type
Individual (NPI-1)
Name
Ms. Tara Jill Acton
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 7, 2011
Certification date
Aug 20, 2020
Last updated
Sep 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistPHYO2055AKYes

Practice location

1130 W Dimond Blvd Ste B
Anchorage, AK 99515-1511

Phone 205-919-2228

Mailing address

1130 W Dimond Blvd Ste B
Anchorage, AK 99515-1511

Phone 205-919-2228

Other practice locations

513 Pam Ave
Glencoe, AL 35905-1027

Phone 205-919-2228

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