TARA LEA LONG

AIKEN, SC
NPI1093890279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  4043)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
Mrs. TARA LEA LONG P.T.
690 MEDICAL PARK DR
AIKEN, SC 29801-6348
Phone number: 803-648-8344
Mailing Address
Mrs. TARA LEA LONG P.T.
209 LONGLEAF CT
AIKEN, SC 29803-5767
Phone number: 803-641-1869