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1629683446
TARA LOUISE TACKER
ROGERS, AR
NPI
1629683446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR 3164)
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
Dr. TARA LOUISE TACKER
1000 W POPLAR ST
ROGERS, AR 72756-4242
Phone number: 479-631-7678
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Mailing Address
Dr. TARA LOUISE TACKER
1609 NW SANTORINI LN
BENTONVILLE, AR 72712-3468
Phone number: 417-844-8946
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