Tara Lee Blanchard, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Drums, PA

NPI 1669896288 · NPPES record last updated Feb 18, 2014

Key facts

NPI
1669896288
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP006713 (PA)
Practice address
255 Avalanche LN
Drums, PA 18222-1143
Phone
(814) 312-6629
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OP006713PAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP006713 PA Yes

Addresses

Primary practice location

255 Avalanche LN
Drums, PA 18222-1143

Mailing address

255 Avalanche LN
Drums, PA 18222-1143
Phone (814) 312-6629

Other providers in Drums, PA

All providers in Drums, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.