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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA E WISE, M.S., O.T.R./L

Active

TARA E WISE, M.S., O.T.R./L is a Military Health Care Provider healthcare provider located in FORT DRUM, New York. NPI 1851675219 is currently active in the NPPES registry. Verify at CMS.

Military Health Care Provider · FORT DRUM, NY

Registration Details

NPI Number
1851675219
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2011 (14.678301258266 yrs)
Last Updated
Oct 4, 2011
License
016540-1 (NY)

Practice Information

Address
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY, 136025438
Browse NY providers · Browse ZIP 13602
Phone
3157723380
Primary Specialty
Military Health Care Provider
171000000X

Other Military Health Care Provider Providers in FORT DRUM, NY

Name Credential NPI
MR. MARK E. LESTER P.T. 1982685764
MS. LESLIE ANN MILANO-LUONGO OTR/L 1144458761
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.