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Individual
MS. TARA IRENE BLUMENTHAL
Active
Individual
MS. TARA IRENE BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
001192
WV
225200000X
Physical Therapy Assistant
3545
NC
225200000X
Physical Therapy Assistant
Primary
PTA20498
FL
Other
Enumeration date
06/01/2007
Last updated
03/08/2021
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