Individual
THERESA LEE TAMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28100 TORCH PKWY STE 600, WARRENVILLE, IL 60555-4030
(630) 250-4576
Mailing address
3676 AYR LN, CRETE, IL 60417-1211
(708) 927-5433
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005505
IL
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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