Individual
MRS. TARA L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8055 O ST, SUITE 111, LINCOLN, NE 68510-2564
(402) 434-8081
Mailing address
8055 O ST, SUITE 111, LINCOLN, NE 68510-2564
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2279
NE
Other
Enumeration date
05/18/2006
Last updated
07/13/2011
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