Fredenburgh, Tara

Fredenburgh, Tara is an sole proprietor health care provider with primary practice located at 30 Old Lyman Rd , South Hadley MA 01075-2630. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Fredenburgh, Tara can be contacted via phone (413) 533-7140.

Contact Information

Primary practice address
30 Old Lyman Rd South Hadley MA 01075-2630
Phone: (413) 533-7140
Fax: (413) 538-9757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Massachusetts

Profile Details

NPI number 1205289832
LBN Legal business name Fredenburgh, Tara
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2016
Last updated Sep 30th, 2019 - about 6 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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