Individual provider · Type 1 NPI
Tara Krista Marchand, OT
Clinic/Center · St. Johns, FL
NPI number
1770813735
Active
Practice location
1108 Basil Branch Ct
St. Johns, FL 32259-5260
Fax (904) 230-6823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | OT6407 (FL) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1770813735
Tara Krista Marchand, OT's National Provider Identifier is 1770813735, issued on Jan 13, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. Johns, FL. The record was last updated on Jan 13, 2010.