Individual
TARA LYNN AMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 LOCUST ST APT B, TURTLE CREEK, PA 15145-1532
(412) 916-7075
Mailing address
614 LOCUST ST APT B, TURTLE CREEK, PA 15145-1532
(412) 916-7075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG007675
PA
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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