Doctor Name: | TARA JANE INGLESBY |
NPI Number: | 1144428947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | COTA |
License Number: | 0292 |
Business Practice Address: | 69 Lancaster Rd Whitefield, NH - 035983052 |
Business Phone Number: | 6038372026 |
Business Fax Number: | |
Mailing Address: | 69 Lancaster Rd, WHITEFIELD |
State: | NH |
Postal Code: | 035983052 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 03/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 0292 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |