Individual provider · Type 1 NPI

Tara E. Wise, M.S., O.T.R./L

Military Health Care Provider · Fort Drum, NY

NPI number 1851675219 Active

Practice location

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X016540-1 (NY)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

156 other providers at this address

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About NPI 1851675219

Tara E. Wise, M.S., O.T.R./L's National Provider Identifier is 1851675219, issued on Oct 4, 2011. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Drum, NY. The record was last updated on Oct 4, 2011.