Wynn, Tara Sue

Wynn, Tara Sue is an individual health care provider with primary practice located at 3631 S 6Th St , Springfield IL 62703-4777. 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. Wynn, Tara Sue can be contacted via phone (217) 535-3685.

Contact Information

Primary practice address
3631 S 6Th St Springfield IL 62703-4777
Phone: (217) 535-3685
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1548439631
LBN Legal business name Wynn, Tara Sue
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2008
Last updated Feb 22nd, 2008 - about 17 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.

Request for update

Popular Providers