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Individual

TARA SEMINGSON GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-6537
Mailing address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7967A
AZ

Other

Enumeration date
06/12/2012
Last updated
06/12/2012
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