Tara Bain

NPI #1629517016 in Canton, Mississippi

Provider Information

NPI Number: 1629517016
Entity Type: Individual
Name: Tara Bain
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Feb 17, 2017
Last Updated: Feb 17, 2017

Practice Location

Address: 1421A E PEACE ST
City: Canton
State: Mississippi
ZIP Code: 39046-4938
Phone: (601) 855-5760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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