Davis, Tarah

Davis, Tarah is an individual health care provider with primary practice located at 1200 Lake Hearn Dr Ne Suite 250, Atlanta GA 30319-1415. 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. Davis, Tarah can be contacted via phone (404) 943-1070.

Contact Information

Primary practice address
1200 Lake Hearn Dr Ne Suite 250 Atlanta GA 30319-1415
Phone: (404) 943-1070
Fax: (404) 943-0890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT001029 Georgia

Profile Details

NPI number 1114007580
LBN Legal business name Davis, Tarah
Credentials OT001029
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 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 1114007580 NPPES
Georgia MEDICAID OT001029

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