ASHLEY TAVENNER

Occupational Therapy Assistant

Active Individual
NPI: 1609507664

Practice Address

1601 BUTTERFIELD TRL
Kankakee, IL 60901

Phone: (815) 936-6500

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes -

Frequently Asked Questions

NPI 1609507664 is the National Provider Identifier for ASHLEY TAVENNER, a Occupational Therapy Assistant provider located in Kankakee, IL. This NPI was enumerated on June 21, 2022.
ASHLEY TAVENNER practices at 1601 BUTTERFIELD TRL, Kankakee, IL 60901.

Quick Facts

NPI
1609507664
Type
Individual
Enumerated
Jun 21, 2022
Last Updated
Jun 21, 2022

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