Individual
DR. TARA LYNN MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1400 CALIPER OAK CIRCLE, APT 316, MOUNT PLEASANT, SC 29464
(330) 473-0353
Mailing address
1400 CALIPER OAK CIR, APT 316, MOUNT PLEASANT, SC 29464-3957
(330) 473-0353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8327
SC
2251G0304X
Geriatric Physical Therapist
PT016508
OH
Other
Enumeration date
09/09/2016
Last updated
11/20/2018
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