Individual
DR. TARA RENEE' MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2010 E RIDGEWAY AVE, WATERLOO, IA 50702-2730
(319) 233-3010
(319) 233-3909
Mailing address
2010 E RIDGEWAY AVE, WATERLOO, IA 50702-2730
(319) 233-3010
(319) 233-3909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004484
IA
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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