Individual
TAMARA MARIE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1201 1ST AVE, MENDOTA, IL 61342-1815
(800) 397-1313
Mailing address
1211 PENNSYLVANIA AVE, MENDOTA, IL 61342-1534
(815) 761-9318
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.000352
IL
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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