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Tara Travia

NPI 1568741841 · on the registry since 2011 · sole proprietor

Practice

Address
11733 Bowman Green Dr Ste 200
Reston, VA 20190
Phone
(724) 664-9943
Clinicians at this address
8

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TC0700X
Licence states on file
PA, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-24

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 Virginia