Individual
TARA BRASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
370 E HERSEY ST STE 1, ASHLAND, OR 97520-2325
(541) 482-6360
Mailing address
370 E HERSEY ST STE 1, ASHLAND, OR 97520-2325
(541) 482-6360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06963
OR
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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