Provider Demographics
NPI:1285269175
Name:TARCA, ZOE (OTR/L)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:TARCA
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 1:36 HEARTHSTONE DR
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:CT
Mailing Address - Zip Code:06248-1202
Mailing Address - Country:US
Mailing Address - Phone:860-966-6765
Mailing Address - Fax:
Practice Address - Street 1:278 SORGHUM MILL RD
Practice Address - Street 2:
Practice Address - City:CAMDEN WYOMING
Practice Address - State:DE
Practice Address - Zip Code:19934-1935
Practice Address - Country:US
Practice Address - Phone:302-697-3101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024009225X00000X
DEU1-0002086225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist