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1720609480
TARA GLENDENNING
ROCKFORD, IL
NPI
1720609480
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Former Name
TARA KEAST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.013419)
Enumeration Date
2020-05-04
Last Update Date
2023-09-05
Business Address
TARA GLENDENNING OTR/L
4920 E STATE ST STE 4
ROCKFORD, IL 61108-2262
Phone number: 815-637-1100
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Mailing Address
TARA GLENDENNING OTR/L
4920 E STATE ST STE 4
ROCKFORD, IL 61108-2262
Phone number: 815-637-1100
Copy
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