MRS. Tara A Slack, OTR L
NPI #1831127844 in Providence, Rhode Island
Provider Information
- NPI Number
- 1831127844
- Entity Type
- Individual
- Name
- MRS. Tara A Slack, OTR L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist - Pediatrics
- Credential
- OTR L
- Enumeration Date
- Jun 29, 2006
- Last Updated
- Jan 20, 2011
Practice Location
- Address
- 1000 EDDY STREET
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02905
- Phone
- (401) 533-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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