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Contact Information

TARA L MCISAAC, P.T., PH.D.
516 W 18TH ST
TEMPE, AZ85281-6521
 Phone: 520-271-4376
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TARA L MCISAAC · (Female)

NPI Number 1760618177
Status Active
Credentials P.T., PH.D.
Entity Individual
Enumeration date 06/01/2009
Last updated 08/10/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 2643
  • NY License # 028222-1
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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