Berry, Tara Marie

Berry, Tara Marie is an individual health care provider with primary practice located at 6000 N Allen Rd , Peoria IL 61614-3294. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Berry, Tara Marie can be contacted via phone (309) 691-1400.

Contact Information

Primary practice address
6000 N Allen Rd Peoria IL 61614-3294
Phone: (309) 691-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160005312 Illinois

Profile Details

NPI number 1093282758
LBN Legal business name Berry, Tara Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2018
Last updated Jan 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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