Individual
TARA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 S ALABAMA ST STE 200, INDIANAPOLIS, IN 46225-3301
(317) 528-2489
(317) 528-3771
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4868
(317) 528-3771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010619A
IN
Other
Enumeration date
11/11/2015
Last updated
03/26/2021
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