Individual
MS. TARA LYNN TANNENHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
45-1144 KAMEHAMEHA HWY, SUITE 305, KANEOHE, HI 96744-3244
(808) 235-7999
(808) 235-7992
Mailing address
PO BOX 283281, HONOLULU, HI 96828-3281
(808) 348-7747
(808) 356-0888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2468
HI
Other
Enumeration date
05/21/2007
Last updated
07/28/2015
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