Tara Pruitt
NPI #1093239220 in Weatherford, Oklahoma
Provider Information
- NPI Number
- 1093239220
- Entity Type
- Individual
- Name
- Tara Pruitt
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jul 31, 2017
- Last Updated
- Jul 31, 2017
Practice Location
- Address
- 1501 LERA STE 5
- City
- Weatherford
- State
- Oklahoma
- ZIP Code
- 73096-2671
- Phone
- (580) 774-2418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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