Provider Demographics
NPI:1235396540
Name:GARNEAU, TARA CHRISTINE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:TARA
Middle Name:CHRISTINE
Last Name:GARNEAU
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68528-1016
Mailing Address - Country:US
Mailing Address - Phone:402-326-2141
Mailing Address - Fax:
Practice Address - Street 1:2550 SUPERIOR ST
Practice Address - Street 2:SUITE 160
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-4155
Practice Address - Country:US
Practice Address - Phone:402-742-7400
Practice Address - Fax:402-742-9592
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1358225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist