Individual
MRS. TARA MARIE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Contact information
Practice address
210 SUMMIT RIDGE CIR, COLUMBIA, SC 29229-7605
(803) 865-6528
Mailing address
210 SUMMIT RIDGE CIR, COLUMBIA, SC 29229-7605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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