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1891570412
LYDIA GRACE TART
RALEIGH, NC
NPI
1891570412
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Professional Name
LYDIA TART
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P22569)
Enumeration Date
2023-08-30
Last Update Date
2023-08-30
Business Address
LYDIA GRACE TART DPT
7900 CREEDMOOR RD
RALEIGH, NC 27613-4382
Phone number: 919-364-8427
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Mailing Address
LYDIA GRACE TART DPT
1601 FAIRVIEW RD
RALEIGH, NC 27608-2529
Phone number: 919-820-3305
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