Provider Demographics
NPI:1225051063
Name:MCGOVERN- ROSINSKI, TARA LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:LYNN
Last Name:MCGOVERN- ROSINSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 BROOK MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-3139
Mailing Address - Country:US
Mailing Address - Phone:717-645-2001
Mailing Address - Fax:
Practice Address - Street 1:204 BROOK MEADOW DR.
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050
Practice Address - Country:US
Practice Address - Phone:717-645-2001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009596111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor