Individual
MRS. TARA NOELLE DANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12205 GUNSTOCK DR, COLORADO SPRINGS, CO 80921-3624
(719) 481-8699
Mailing address
1403 ROYAL TROON DR, CASTLE ROCK, CO 80104-5245
(303) 814-2481
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04586
OH
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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