TARA HANNAH

KIRTLAND, NM
NPI1598131195
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  A-1157)
Enumeration Date2015-08-18
Last Update Date2015-08-18
Business Address
-- TARA HANNAH
68 ROAD 6118
KIRTLAND, NM 87417-9319
Phone number: 505-402-6407
Mailing Address
-- TARA HANNAH
68 ROAD 6118
KIRTLAND, NM 87417-9319
Phone number: 505-402-6407