Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | 04581 | MD |
N | 225XE1200X | Ergonomics | 04581 | MD |
N | 225XH1200X | Occupational Therapist - Hand | 04581 | MD |
N | 225XP0200X | Occupational Therapist - Pediatrics | 04581 | MD |
NPI | 1194852343 |
---|---|
Provider Name | Tara Breen Paraska |
First Address | Pikesville, MD 21208-1308 |
Second Address | Pikesville, MD 21208-1308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 08/07/2007 |