Individual
TABITHA C PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
117 N WESTERN AVE, PEORIA, IL 61604-5650
(309) 674-2400
Mailing address
3804 S GRANVILLE AVE, BARTONVILLE, IL 61607-2244
(309) 258-2883
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.010238
IL
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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