Individual
MS. TARA JAYE FOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
50 N MEDICAL DRIVE, REHAB 2, SALT LAKE CITY, UT 84132
(801) 581-2733
Mailing address
105 ZERMAT STRASSE, PARK CITY, UT 84098
(435) 659-6409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
53359862401
UT
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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