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Individual

HANNAH TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-9453
Mailing address
4302 AMBER LAKE DR, HOUSTON, TX 77084-3282
(832) 499-2319

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016447
IL

Other

Enumeration date
02/20/2025
Last updated
02/20/2025
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