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1740259308
TARA LEIGH WISDOM
FORT WORTH, TX
NPI
1740259308
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Former Name
TARA LEIGH BLACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1156069)
Enumeration Date
2006-03-16
Last Update Date
2016-02-02
Business Address
Mrs. TARA LEIGH WISDOM PT
3800 HULEN ST
FORT WORTH, TX 76107-7276
Phone number: 512-876-8595
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Mailing Address
Mrs. TARA LEIGH WISDOM PT
3800 HULEN ST
FORT WORTH, TX 76107-7276
Phone number: 512-876-8595
Copy
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