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1568928364
TARA RAE ANDERSON
WEST COLUMBIA, SC
NPI
1568928364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501019054)
Enumeration Date
2019-02-16
Last Update Date
2024-01-15
Business Address
TARA RAE ANDERSON PT, DPT
123 E MEDICAL LN
WEST COLUMBIA, SC 29169-4813
Phone number: 803-791-2397
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Mailing Address
TARA RAE ANDERSON PT, DPT
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-935-8292
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