Individual
MS. STEPHANIE ROSE TARABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9727 MINNICK AVE, OAK LAWN, IL 60453-2913
(708) 703-6532
Mailing address
9727 MINNICK AVE, OAK LAWN, IL 60453-2913
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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