Individual
TARA N HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DEVL THERAPIST
Contact information
Practice address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 686-1177
Mailing address
104 RIDGE RD, MAHOMET, IL 61853-9263
(217) 586-7992
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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