Individual
TARA KAYE HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6873 MERCEDES AVE, PORTAGE, IN 46368-2542
(219) 763-0511
(219) 764-4439
Mailing address
6873 MERCEDES AVE, PORTAGE, IN 46368-2542
(219) 763-0511
(219) 764-4439
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06003499A
IN
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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