Tara Kristine Clemons, OTR/L

NPI #1558873596 in Sandpoint, Idaho

Provider Information

NPI Number: 1558873596
Entity Type: Individual
Name: Tara Kristine Clemons, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Oct 31, 2017
Last Updated: Oct 31, 2017

Practice Location

Address: 726 N THIRD AVE # UNTIB
City: Sandpoint
State: Idaho
ZIP Code: 83864-1510
Phone: (760) 709-1125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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