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1548695539
TARA FORTENER
OWENSBORO, KY
NPI
1548695539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY A4057)
Enumeration Date
2013-09-09
Last Update Date
2013-09-09
Business Address
-- TARA FORTENER
3271 ALVEY PARK DR W SUITE H
OWENSBORO, KY 42303-2466
Phone number: 270-683-9992
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Mailing Address
-- TARA FORTENER
3271 ALVEY PARK DR W SUITE H
OWENSBORO, KY 42303-2466
Phone number: 270-683-9992
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