Individual
TARA LYNN HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4101 W ILES AVE, SPRINGFIELD, IL 62711-7051
(217) 993-7066
Mailing address
618 E CHESTNUT ST, CHATHAM, IL 62629-1425
(217) 299-7733
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003463
IL
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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