Ticomb, Tara
Ticomb, Tara is an individual health care provider with primary practice located at 141 Durham Rd Ste 14, Madison CT 06443-2676. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ticomb, Tara can be contacted via phone (203) 245-0001.Contact Information
Primary practice address
141 Durham Rd Ste 14
Madison CT 06443-2676
Phone: (203) 245-0001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1881704385 |
|---|---|
| LBN Legal business name | Ticomb, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881704385 | NPPES |
| Connecticut | Other | 000857 | LICENSE # |
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