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1811391055
TARA NELSON SMITH
STATEN ISLAND, NY
NPI
1811391055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 024108)
Enumeration Date
2014-10-17
Last Update Date
2014-10-17
Business Address
-- TARA NELSON SMITH MS, PT
905 ANNADALE RD
STATEN ISLAND, NY 10312-4010
Phone number: 718-984-5826
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Mailing Address
-- TARA NELSON SMITH MS, PT
70 DOWNES AVE
STATEN ISLAND, NY 10312-4065
Phone number: 718-702-4232
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