Tara Sue Loomis COTA

NPI 1053561209 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1053561209
Gender Female
Enumeration Date 09/24/2008
Last Updated 09/24/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4560 SE INTERNATIONAL WAY, SUITE 100
CONSONUS HEALTHCARE SERVICES
MILWAUKIE OR, 97222, US
Phone (971) 206-5200
Fax (971) 206-5209
Business Location
4560 SE INTERNATIONAL WAY, SUITE 100
CONSONUS HEALTHCARE SERVICES
MILWAUKIE OR, 97222, US
Phone (971) 206-5200
Fax (971) 206-5209
Toxanomy
Taxonomy Code 224Z00000X
License State Texas
License Number 207905
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According to our database, Mrs. Tara Sue Loomis COTA NPI is 1053561209, taxonomy code is 224Z00000X and license number is 207905, license state is located at Texas. Tara Sue Loomis COTA physically located at 4560 Se International Way, Suite 100, Milwaukie OR, 97222. NPI Number Tara Sue Loomis COTA has the Individual type.

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1053561209 NPI number is provided on an as is basis without warranty of any kind. 1053561209 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Sue Loomis COTA are for informational purposes only.