| NPI | 1659638591 |
|---|---|
| Former Name | TARYN L FALLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NJ 40QA00971600) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: DE J1-0002312) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2013-01-02 |