Tara Lynn McDaniel, COTA
Individual provider Active NPI Occupational Therapy Assistant · La Fontaine, IN
NPI 1891963252 · NPPES record last updated Feb 19, 2008
Key facts
- NPI
- 1891963252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32001447A (IN)
- Practice address
- 604 Rennaker St
La Fontaine, IN 46940-9045 - Phone
- (765) 981-2081
- NPI assigned
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32001447A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32001447A | IN | Yes |
Addresses
Primary practice location
604 Rennaker St
La Fontaine, IN 46940-9045
Mailing address
1800 N Wabash Ave Suite 200
Marion, IN 46952-1300
Phone (765) 651-3229
Other providers in La Fontaine, IN
- Brittany Burnett
- Angela Celina Alcala Castaneda
- Kiley Jean Furnish
- Paul James Knell
- Kim Ilene Losen
- Caleb Joel Meives
- Northern Indiana Health Care System
- Riverview Hospital
All providers in La Fontaine, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.