Individual
TARA LYNN DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
10150 LANTERN RD, STE 225, FISHERS, IN 46037
(317) 806-7803
(317) 806-7804
Mailing address
10150 LANTERN RD, STE 225, FISHERS, IN 46037
(317) 806-7803
(317) 806-7804
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002419A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000209715
ANTHEM
IN
Enumeration date
07/16/2006
Last updated
07/08/2007
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