| NPI | 1013988070 |
|---|---|
| Former Name | TARA L HERMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004040) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6826) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2008-11-26 |