ASHLEY TAVENNER

KANKAKEE, IL
NPI1609507664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2022-06-21
Last Update Date2022-06-21
Business Address
ASHLEY TAVENNER
1601 BUTTERFIELD TRL
KANKAKEE, IL 60901-2959
Phone number: 815-936-6500
Mailing Address
ASHLEY TAVENNER
PO BOX 111
LUDLOW, IL 60949-0111
Phone number: 217-418-0105