Davis, Tara A

Davis, Tara A is an individual health care provider with primary practice located at 235 S 33Rd St , Philadelphia PA 19104-6322. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Davis, Tara A can be contacted via phone (800) 789-7366.

Contact Information

Primary practice address
235 S 33Rd St Philadelphia PA 19104-6322
Phone: (800) 789-7366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X A0000485 Maryland
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 000133 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA064151 Pennsylvania

Profile Details

NPI number 1346394699
LBN Legal business name Davis, Tara A
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Nov 5th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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