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Tara Meredith Fradella, PT

Physical Therapist in Plainview, NY. Individual provider (NPI-1).

NPI number1982742425
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1982742425
Entity type
Individual (NPI-1)
Name
Tara Meredith Fradella
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Feb 4, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist023493-1NYYes

Practice location

9 Briggs Rd
Plainview, NY 11803-6114

Phone 516-390-9504

Mailing address

9 Briggs Road
Plainview, NY 11803

Phone 516-390-9504

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