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1215641972
TARA THOMPSON
SANTA ROSA, CA
NPI
1215641972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2023-01-09
Last Update Date
2023-01-09
Business Address
TARA THOMPSON OTD
1165 MONTGOMERY DR
SANTA ROSA, CA 95405-4801
Phone number: 707-525-5300
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Mailing Address
TARA THOMPSON OTD
9548 LAKEWOOD DR
WINDSOR, CA 95492-9598
Phone number: 707-548-6630
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