TARA LEA GREEN

HEATHROW, FL
NPI1366631699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  7679A)
Enumeration Date2007-10-23
Last Update Date2007-10-23
Business Address
-- TARA LEA GREEN
1485 INTERNATIONAL PKWY 2051
HEATHROW, FL 32746-5303
Phone number: 800-798-6035
Mailing Address
-- TARA LEA GREEN
8 MILLER ST
CANTON, NC 28716-3827
Phone number: 828-508-0833
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