Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA CARMICHAEL, PTA
Active Sole ProprietorTARA CARMICHAEL, PTA is a Occupational Therapist healthcare provider located in WALTONVILLE, Illinois. NPI 1437822533 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WALTONVILLE, IL
Registration Details
- NPI Number
- 1437822533
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2021 (5.0248490573577 yrs)
- Last Updated
- Jul 26, 2021
- License
-
PTA-594-0 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9229 N DRAGONFLY LNWALTONVILLE, IL, 628942413Browse IL providers · Browse ZIP 62894
- Phone
- 6187080902
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WALTONVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. AIMEE LEE BAUM | PTA | 1174711766 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.