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1083978308
TARA O'MALLEY
PHILADELPHIA, PA
NPI
1083978308
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Former Name
TARA WASSERBACH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA OC011211)
Enumeration Date
2012-07-02
Last Update Date
2012-07-02
Business Address
-- TARA O'MALLEY
3826 VIOLET DR
PHILADELPHIA, PA 19154-3429
Phone number: 215-870-1601
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Mailing Address
-- TARA O'MALLEY
3826 VIOLET DR
PHILADELPHIA, PA 19154-3429
Phone number: 215-870-1601
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