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Individual
DR. TARA ANN MARONEY
Active
Individual
DR. TARA ANN MARONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, GCS, CEEAA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13300
NC
2251G0304X
Geriatric Physical Therapist
Primary
20920
MA
2251G0304X
Geriatric Physical Therapist
8858
CT
Other
Enumeration date
11/22/2010
Last updated
01/05/2014
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