Individual
TARA RENEE DOLBEARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
610 LOWRY ST, PITTSFIELD, IL 62363-1768
(217) 285-5200
Mailing address
PO BOX 302, PLEASANT HILL, IL 62366-0302
(217) 242-1457
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004168
IL
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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