Individual
MS. TARA RETHELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-1687
(877) 407-2500
Mailing address
3236 E CHANDLER BLVD, PHOENIX, AZ 85048-7207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12083506
—
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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