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

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XOT6407 (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.