Tara J Baran, OTR | |
410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 | |
(910) 347-2212 | |
(910) 338-5013 |
Full Name | Tara J Baran |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 410 New Bridge St Ste 10a, Jacksonville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295334498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 13630 (North Carolina) | Primary |
Entity Name | Coastline Therapy Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730681388 PECOS PAC ID: 5799023826 Enrollment ID: O20190214001080 |
Mailing Address | Practice Location Address |
---|---|
Tara J Baran, OTR 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 Ph: (910) 347-2212 | Tara J Baran, OTR 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 Ph: (910) 347-2212 |
Ronnie Nicole Pletl, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 225 White St, Jacksonville, NC 28546 Phone: 910-353-7222 | |
Dayna Dols, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2457 Gum Branch Rd Ste 600700, Jacksonville, NC 28540 Phone: 252-228-4643 Fax: 910-938-7544 |