MRS. Tara Lea Long, P.T.

NPI #1093890279 in Aiken, South Carolina

Provider Information

NPI Number: 1093890279
Entity Type: Individual
Name: MRS. Tara Lea Long, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Oct 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 690 MEDICAL PARK DR
City: Aiken
State: South Carolina
ZIP Code: 29801-6348
Phone: (803) 648-8344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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