MRS. Tara Ann Tibbe, OTR

NPI #1114191939 in Portage, Wisconsin

Provider Information

NPI Number: 1114191939
Entity Type: Individual
Name: MRS. Tara Ann Tibbe, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Apr 14, 2008
Last Updated: Apr 14, 2008

Practice Location

Address: 2817 NEW PINERY RD
City: Portage
State: Wisconsin
ZIP Code: 53901-9257
Phone: (608) 745-6290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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