Individual
MS. TARA LUDWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
101 S WAVERLY ST, SHILLINGTON, PA 19607-2644
(610) 823-5380
Mailing address
4 CHADWICK DR, MOHNTON, PA 19540-1109
(610) 823-5380
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000146
PA
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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