Provider Demographics
NPI:1326810763
Name:HARPER, TARA (OTD, OTR/L, DRP)
Entity Type:Individual
Prefix:MRS
First Name:TARA
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:OTD, OTR/L, DRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37090-8050
Mailing Address - Country:US
Mailing Address - Phone:615-830-7656
Mailing Address - Fax:
Practice Address - Street 1:4000 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37090-8050
Practice Address - Country:US
Practice Address - Phone:615-806-0012
Practice Address - Fax:855-674-1874
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
TN5224225XR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community Mobility
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist