Individual
EMILY NICOLE TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 443-5000
Mailing address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 443-5000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
12/29/2023
Last updated
10/14/2024
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