Provider Demographics
NPI:1194852343
Name:PARASKA, TARA BREEN (ORTL)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:BREEN
Last Name:PARASKA
Suffix:
Gender:F
Credentials:ORTL
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:BREEN
Other - Last Name:ESSLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:11 KELLER RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1308
Mailing Address - Country:US
Mailing Address - Phone:410-415-5260
Mailing Address - Fax:410-415-5261
Practice Address - Street 1:11 KELLER RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-1308
Practice Address - Country:US
Practice Address - Phone:410-415-5260
Practice Address - Fax:410-415-5261
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04581225XE1200X, 225XH1200X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Not Answered225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics