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Tara Wise, M.S., O.T.R./L
NPI 1851675219 · on the registry since 2011
Practice
- Address
- 11050 Mount Belvedere Blvd
Fort Drum, NY 13602 - Phone
- (315) 772-3380
- Organisation at this address
- Us Army
Ahc Guthrie-DrumInferred from a shared address, not stated in the registry. - Clinicians at this address
- 155
Registry record
- Primary taxonomy
- Military Health Care Provider
171000000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York