TARA CARMICHAEL

WALTONVILLE, IL
NPI1437822533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: HI  PTA-594-0)
Enumeration Date2021-07-26
Last Update Date2021-07-26
Business Address
TARA CARMICHAEL PTA
9229 N DRAGONFLY LN
WALTONVILLE, IL 62894-2413
Phone number: 618-708-0902
Mailing Address
TARA CARMICHAEL PTA
9229 N DRAGONFLY LN
WALTONVILLE, IL 62894-2413
Phone number: 618-708-0902
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