Ashley Tavenner

NPI #1609507664 in Kankakee, Illinois

Provider Information

NPI Number
1609507664
Entity Type
Individual
Name
Ashley Tavenner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Jun 21, 2022
Last Updated
Jun 21, 2022

Practice Location

Address
1601 BUTTERFIELD TRL
ZIP Code
60901-2959
Phone
(815) 936-6500

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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