Dare, Tegan Kathleen

Dare, Tegan Kathleen is an individual health care provider with primary practice located at 415 N Crescent Dr Suite 130, Beverly Hills CA 90210-4860. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Dare, Tegan Kathleen can be contacted via phone (310) 497-0383.

Contact Information

Primary practice address
415 N Crescent Dr Suite 130 Beverly Hills CA 90210-4860
Phone: (310) 497-0383
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT 865 California

Profile Details

NPI number 1558301846
LBN Legal business name Dare, Tegan Kathleen
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558301846 NPPES
California Other 1013058 NBCOT
California Other OT 865 NBCOT

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