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Individual

GENEVIEVE TATARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
34434 KING STREET ROW UNIT 1, LEWES, DE 19958-4787
(302) 200-9920
(302) 703-6652
Mailing address
659 S SALISBURY BLVD STE 1B, SALISBURY, MD 21801-5458
(410) 831-3226
(410) 677-0883

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
JT-0000952
DE

Other

Enumeration date
06/21/2018
Last updated
06/21/2018
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