Individual
TARA ANNETTE GLOSEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
831 MCDOW DR, ROCK HILL, SC 29732-2415
(803) 366-5722
Mailing address
3326 GOODPLACE RD, ROCK HILL, SC 29732-9264
(803) 324-7852
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
585
SC
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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