Tara E Wise, M.S., O.T.R./L is a military health care provider in Fort Drum, NY. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Tara E Wise, M.S., O.T.R./L NPI is 1851675219. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602-438
Phone: (315) 772-3380
The enumeration date for this NPI number is 10/4/2011 and was last updated on 10/4/2011.