Individual
TARRAH ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6434 DALE DR, MARION, MS 39342-8704
(601) 250-4815
Mailing address
737 DOGWOOD LAKE RD, MERIDIAN, MS 39305-9235
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4421
MS
Other
Enumeration date
09/24/2008
Last updated
09/29/2008
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