| NPI | 1417567769 |
|---|---|
| Former Name | TARA BREANN PEARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 124396) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2024-03-13 |