| NPI | 1982051249 |
|---|---|
| Former Name | TARA LYNN HAMILTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P-CP018519T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1275096) |
| 225100000X Physical Therapist (Licence: AZ CP026944T) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2024-04-01 |