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1881704385
TARA TICOMB
MADISON, CT
NPI
1881704385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- TARA TICOMB
141 DURHAM RD STE 14
MADISON, CT 06443-2676
Phone number: 203-245-0001
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Mailing Address
-- TARA TICOMB
20 OLD HICKORY LN
BRANFORD, CT 06405-2828
Phone number: 631-839-1470
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