Individual
TARA ANNE CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
437 E CAMBRIDGE AVE, 437 E. CAMBRIDGE AVE., GREENWOOD, SC 29646-2244
(864) 223-1950
(864) 330-3001
Mailing address
PO BOX 3109, GREENWOOD, SC 29648-3109
(864) 223-1950
(864) 330-3001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1420
SC
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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