Individual
MRS. TARA JO PICKART SAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
411 HAGANMAN LN UNIT D, SOLON, IA 52333-9760
(319) 624-1250
(319) 624-1252
Mailing address
411 HAGANMAN LN UNIT D, SOLON, IA 52333-9760
(319) 624-1250
(319) 624-1252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
073510
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932508579
—
IA
01
—
P02129382
RR MEDICARE
IA
Enumeration date
08/20/2014
Last updated
05/06/2020
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