Individual
TARA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7846 GOLF POINT DR SE, CALEDONIA, MI 49316-7779
(616) 855-4101
Mailing address
7846 GOLF POINT DR. SE, CALEDONIA, MI 49316
(616) 855-4101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501009044
MI
Other
Enumeration date
02/13/2008
Last updated
05/06/2025
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