Individual provider · NPI-1

Tara Allen

Occupational Therapist · Greenville, SC

NPI number1669042792
StatusActive
Last updated in NPPESJun 30, 2021

Details

NPI
1669042792
Entity type
Individual (NPI-1)
Name
Tara Allen
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 30, 2021
Certification date
Jun 30, 2021
Last updated
Jun 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist6183SCYes

Practice location

8 N Texas Ave
Greenville, SC 29611-5034

Phone 864-325-6833

Mailing address

4504 Digby Ct
Fayetteville, NC 28306-4543

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