Provider Demographics
NPI:1518154764
Name:GARNER, TARA LOUISA (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:TARA
Middle Name:LOUISA
Last Name:GARNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:600 S MCKINLEY ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5202
Mailing Address - Country:US
Mailing Address - Phone:501-664-4088
Mailing Address - Fax:501-978-2765
Practice Address - Street 1:3417 MARKET PLACE AVE STE 400
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-8077
Practice Address - Country:US
Practice Address - Phone:501-943-1681
Practice Address - Fax:501-439-1682
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR234991225XH1200X
AR2153225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand