TARA BANKS FEDDERN

BUFORD, GA
NPI1639693278
Former NameTARA BANKS MALONE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist Pediatrics
(Licence: GA  OT006793)
Enumeration Date2017-07-26
Last Update Date2018-03-12
Business Address
MRS. TARA BANKS FEDDERN OTR/L
4319 SOUTH LEE STREET SUITE 300 CHANDLER SPEECH AND LANGUAGE SERVICES, LLC
BUFORD, GA 30518
Phone number: 678-288-9770
Mailing Address
MRS. TARA BANKS FEDDERN OTR/L
6477 MOSSY BOULDER DR WONDER THERAPEUTIC SERVICES, LLC
FLOWERY BRANCH, GA 30542
Phone number: 404-406-8272
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