Individual
SARA S TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MSR, NCS
Contact information
Practice address
1514 MATHIS FERRY RD STE A104, MT PLEASANT, SC 29464-9760
(843) 442-9369
Mailing address
1526 VILLAGE SQ, MT PLEASANT, SC 29464-4625
(843) 442-9369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4707
SC
Other
Enumeration date
09/07/2005
Last updated
07/13/2019
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