- Practice location
- 3101 S Gulley RD Ste F-G, Dearborn, MI 48124-4406
- Phone
- 734-407-2500
- Fax
- —
- Last updated
- June 26, 2014
Tara Duryea is an Occupational Therapy Assistant based in Dearborn, MI. Tara Duryea practices in Dearborn, MI and has the professional credentials of COTA. The NPI Number for Tara Duryea is 1699180869 and holds a License No. 5202007698 (MI). The current practice location address for Tara Duryea is 3101 S Gulley RD Ste F-G, Dearborn, MI 48124-4406 and can be reached out via phone at 734-407-2500.
Provider Profile Details
- NPI Number
- 1699180869
- Provider Name
- Tara Duryea
- Credential
- COTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3101 S Gulley RD Ste F-G, Dearborn, MI 48124-4406
- Phone Number
- 734-407-2500
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2014
- Last Update Date
- June 26, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3101 S Gulley RD Ste F-G
Dearborn, MI 48124-4406 - City
- Dearborn
- State
- Michigan
- Zip
- 48124-4406
- Phone Number
- 734-407-2500
Provider Business Mailing Address Details
- Address
- 136 William St
Springfield, MA 01105-2324 - City
- Springfield
- State
- MA
- Zip
- 01105-2324
- Phone Number
- 800-218-9280
License Information
- License Number
- 5202007698
- License State
- MI
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapy Assistants near Dearborn, MI
View all Occupational Therapy Assistants in Dearborn →Frequently Asked Questions
What is the NPI number of Tara Duryea, COTA?
The NPI number of Tara Duryea, COTA is 1699180869. It was assigned on June 26, 2014 and is currently active in the NPPES registry.
What is the specialty of Tara Duryea, COTA?
Tara Duryea, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MI under license number 5202007698.
Where does Tara Duryea, COTA practice?
The practice location is 3101 S Gulley RD Ste F-G, Dearborn, MI 48124-4406. The office can be reached at 734-407-2500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699180869 directly on the NPPES registry website.