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Individual

JOSEPH ALLEN TATARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT, OT

Contact information

Practice address
1550 E UNIVERSITY DR APT 224, AUBURN, AL 36830-6368
(601) 573-9774
Mailing address
2040 SEQUOIA DR, AUBURN, AL 36879-5408
(256) 656-8053

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7916
AL
225X00000X
Occupational Therapist
OT4080
AL

Other

Enumeration date
12/19/2022
Last updated
12/19/2022
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