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1730414608
TARA TENNISON FITZGERALD
CHARLOTTE, NC
NPI
1730414608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P10414)
Enumeration Date
2009-10-12
Last Update Date
2009-10-12
Business Address
-- TARA TENNISON FITZGERALD PT
5114 PROVIDENCE RD
CHARLOTTE, NC 28226-5852
Phone number: 704-900-0126
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Mailing Address
-- TARA TENNISON FITZGERALD PT
10405 SARDIS OAKS RD
CHARLOTTE, NC 28270-1016
Phone number:
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