Individual
MRS. TARA AUBREY CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
3479 VILLAGE CLUB DR, POWELL, OH 43065-8181
(773) 771-4344
Mailing address
3479 VILLAGE CLUB DR, POWELL, OH 43065-8181
(773) 771-4344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OH3047930
OH
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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