Individual
MISS MARIE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTS
Contact information
Practice address
10071 W LINCOLN HWY, FRANKFORT, IL 60423-1272
(815) 464-6069
(815) 464-6970
Mailing address
823 S ADAMS, APT 202, WESTMONT, IL 60559
(507) 841-3842
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010527
IL
Other
Enumeration date
08/28/2013
Last updated
07/13/2016
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