Individual
TARA JO BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3076 HENDEE RD, JACKSON, MI 49201-9001
(517) 416-6104
Mailing address
3076 HENDEE RD, JACKSON, MI 49201-9001
(517) 416-6104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002790
MI
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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