Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Fredenburgh, OTR/L

Individual provider Social Worker · NPI 1205289832

Tara Fredenburgh, OTR/L is a Social Worker in South Hadley, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2016
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

30 Old Lyman Rd
South Hadley, MA 01075-2630
Phone: (413) 533-7140
Fax: (413) 538-9757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3000 Fuller Ave Ne, Grand Rapids, MI 49505 — (616) 284-5871

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (MA)
Social Worker Taxonomy 104100000X

Record details

NPI number1205289832
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJuly 19, 2016
Last updated in NPPESSeptember 30, 2019

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