Mccormick, Tara Linette
Mccormick, Tara Linette is an sole proprietor health care provider with primary practice located at 1178B River Hwy Ste 100 , Mooresville NC 28117-9064. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Mccormick, Tara Linette can be contacted via phone (508) 243-2433.Contact Information
Primary practice address
1178B River Hwy Ste 100
Mooresville NC 28117-9064
Phone: (508) 243-2433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 5915 | Massachusetts |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2096 | North Carolina |
Profile Details
| NPI number | 1104959428 |
|---|---|
| LBN Legal business name | Mccormick, Tara Linette |
| Credentials | OTD, OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Apr 29th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104959428 | NPPES |
| Massachusetts | Other | OT0174 | BLUECROSS BLUE SHIELD |
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