TARA L. LEWIS

BLAINE, MN
NPI1407899701
Former NameTARA L MATHERN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  7739)
Enumeration Date2006-06-14
Last Update Date2008-10-21
Business Address
-- TARA L. LEWIS PT
11855 ULYSSES ST NE
BLAINE, MN 55434-3947
Phone number: 763-767-3140
Mailing Address
-- TARA L. LEWIS PT
7700 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432-2832
Phone number: 763-784-3155