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Contact Information

TARA A CONDON, MA, AT, ATC
801 EDITH RD
LOUISVILLE, KY40206-2280
 Phone: 845-521-4398
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for TARA A CONDON · (Female)

NPI Number 1689233785
Status Active
Credentials MA, AT, ATC
Entity Individual
Enumeration date 06/12/2019
Last updated 06/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # AT-008909
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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