Tara Welch

NPI #1225489297 in Millstadt, Illinois

Provider Information

NPI Number: 1225489297
Entity Type: Individual
Name: Tara Welch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 30, 2016
Last Updated: Jun 30, 2016

Practice Location

Address: 4901 RITA ANN PL
City: Millstadt
State: Illinois
ZIP Code: 62260-2183
Phone: (618) 409-1642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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