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1508953878
TARA E SMITH
BOLINGBROOK, IL
NPI
1508953878
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Former Name
TARA E ROUSONELOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070014654)
Enumeration Date
2006-10-06
Last Update Date
2014-12-19
Business Address
-- TARA E SMITH PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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Mailing Address
-- TARA E SMITH PT
18W431 ROOSEVELT RD
LOMBARD, IL 60148-4142
Phone number: 630-620-1580
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