Individual
TARA L MCISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., PH.D.
Contact information
Practice address
516 W 18TH ST, TEMPE, AZ 85281-6521
(520) 271-4376
Mailing address
516 W 18TH ST, TEMPE, AZ 85281-6521
(520) 271-4376
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
028222-1
NY
2251N0400X
Neurology Physical Therapist
Primary
2643
AZ
Other
Enumeration date
06/01/2009
Last updated
08/10/2013
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