Individual
TARA DEBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 MORGANSHIRE DR, GREENVILLE, SC 29609-2337
(616) 994-3580
Mailing address
201 MORGANSHIRE DR, GREENVILLE, SC 29609-2337
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2620
SC
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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