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1942772967
TARA ANN ANDERSON
RIVERTON, WY
NPI
1942772967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WY PTA-0454)
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
Mrs. TARA ANN ANDERSON PTA
1002 FOREST DR
RIVERTON, WY 82501-2918
Phone number: 307-856-9471
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Mailing Address
Mrs. TARA ANN ANDERSON PTA
6856 RIVERVIEW RD
RIVERTON, WY 82501-9322
Phone number: 307-857-3138
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