Search › North Carolina › 103TC0700X
Tara Luellen, MA, LPA
NPI 1659678647 · on the registry since 2011 · sole proprietor
Practice
- Address
- 5838 Six Forks Rd
Suite 200
Raleigh, NC 27609 - Phone
- (919) 785-9944
- Fax
- (919) 785-9992
- Organisation at this address
- Premier Physical Therapy & Sports Rehab, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YM0800X
- Licence states on file
- KY, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina