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Individual

TAWNYA DANELLE HILDRETH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
571 AST, MADERA, CA 93638
(559) 673-9228
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(559) 484-8033

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
02/08/2023
Last updated
02/08/2023
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