Tara Grantham in Versailles - Occupational Therapist

Tara Grantham - NPI 1790807352

Tara Grantham is a Occupational Therapist in Versailles, Missouri. Tara Grantham practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Tara Grantham is 1790807352. The last update date is 2007-07-08.

Tara Grantham's current location address is 308 S Maple St, Versailles, Missouri. You can contact this provider via phone number 5733782532. The mailing address for Tara Grantham is 308 S Maple St, Versailles, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Tara Grantham
Address 308 S Maple St, Versailles, Missouri
Phone Number 5733782532
Fax Number
Sole Proprietor N
Credentials OTR

NPI Number Detail

NPI Number 1790807352
Provider Enumeration Date 2007-04-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 308 S Maple St
City Versailles
State Missouri (MO)
Post Code 650841087
Phone Number 5733782532
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 4528
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

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FAQs about Tara Grantham

What is the unique 10-digit identifier code assigned to Tara Grantham by the Centers for Medicare & Medicaid Services?

The Tara Grantham has been issued the NPI (National Provider Identifier) 1790807352 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Tara Grantham?

The Tara Grantham is physically situated at 308 S Maple St, in the city of Versailles, state of MO, with the postal code 650841087.

What is the area of specialization for Tara Grantham, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tara Grantham is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.

When did Tara Grantham receive its 1790807352 assignment?

The Tara Grantham was assigned its 1790807352 on 2007-04-04, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Tara Grantham most recently updated or revised?

The information pertaining to Tara Grantham, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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