Individual
TARA NICOLE MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
1013 PARNELL DR, XENIA, OH 45385-2451
(937) 572-8502
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.10283
OH
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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