Individual
TARA N JANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2910 LERMITAGE PL, STOW, OH 44224-5219
(330) 688-1188
(330) 688-1278
Mailing address
6140 SKYLARK ST SW, CANTON, OH 44706-3162
(330) 704-2610
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09001
OH
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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