-- TARA E WISE M.S., O.T.R./L ⚕️ New York 1851675219

NPI	1851675219
Entity Type	Individual
Gender	Female
Sole Proprietor ?	No
Primary Taxonomy	171000000X Military Health Care Provider (Licence: NY 016540-1)
Enumeration Date	2011-10-04
Last Update Date	2011-10-04

-- TARA E WISE M.S., O.T.R./L

11050 MOUNT BELVEDERE BLVD

FORT DRUM, NY 13602-5438

Phone number: 315-772-3380

-- TARA E WISE M.S., O.T.R./L

11050 MOUNT BELVEDERE BLVD

FORT DRUM, NY 13602-5438

Phone number: 315-772-3380