Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TARA BANKS FEDDERN, OTR/L
Active Sole ProprietorMRS. TARA BANKS FEDDERN, OTR/L is a Pediatric Occupational Therapist healthcare provider located in BUFORD, Georgia. NPI 1639693278 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · BUFORD, GA
Registration Details
- NPI Number
- 1639693278
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2017 (9.0254990335506 yrs)
- Last Updated
- Mar 12, 2018
- License
-
OT006793 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4319 SOUTH LEE STREET SUITE 300CHANDLER SPEECH AND LANGUAGE SERVICES, LLCBUFORD, GA, 30518Browse GA providers · Browse ZIP 30518
- Phone
- 6782889770
- Fax
- 6782889774
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in BUFORD, GA
| Name | Credential | NPI |
|---|---|---|
| DEBORAH JEROME | OTRL | 1235202417 |
| BRITTNEY N FREEMAN | MS OTRL | 1750454476 |
| KERI S CONVERSE | OTR/L | 1023171451 |
| PAMELA KAY EVANS | OTR | 1548469554 |
| JULIE D RANDOLPH | MS, OTR/L | 1376742874 |
| DIANNE ISSEN | OTR/L | 1669663035 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.