Individual
TARA ANN PERMENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7578
Mailing address
1918 S 1100 W, SYRACUSE, UT 84075-8805
(904) 599-4317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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