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1710274113
HEATHER TACK
CLEARWATER, FL
NPI
1710274113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT26586)
Enumeration Date
2011-07-06
Last Update Date
2011-07-06
Business Address
-- HEATHER TACK
1944 N HERCULES AVE STE C
CLEARWATER, FL 33763-4403
Phone number: 727-442-9670
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Mailing Address
-- HEATHER TACK
1944 N HERCULES AVE STE C
CLEARWATER, FL 33763-4403
Phone number: 727-442-9670
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