TARA SUE WYNN

SPRINGFIELD, IL
NPI1548439631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160003217)
Enumeration Date2008-02-22
Last Update Date2008-02-22
Business Address
Ms. TARA SUE WYNN PTA
3631 S 6TH ST
SPRINGFIELD, IL 62703-4777
Phone number: 217-535-3685
Mailing Address
Ms. TARA SUE WYNN PTA
3631 S 6TH ST
SPRINGFIELD, IL 62703-4777
Phone number: 217-535-3685
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