TARA MACK

LOUISVILLE, KY
NPI1770977928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502004267)
Enumeration Date2015-03-26
Last Update Date2015-03-26
Business Address
-- TARA MACK PTA
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
Mailing Address
-- TARA MACK PTA
501 N BROADWAY ST
UNION CITY, MI 49094-1146
Phone number: 517-652-4882
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