Individual
TAMARA HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 GROVE AVE, 3, BROOKFIELD, IL 60513-2553
(773) 370-1217
Mailing address
4601 GROVE AVE, 3, BROOKFIELD, IL 60513-2553
(773) 370-1217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004962
IL
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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