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Tara Manzano, OTR/L
NPI 1164853255 · on the registry since 2013 · sole proprietor
Practice
- Address
- 101 S Graham Ave
Suite 3
Carbondale, IL 62901 - Phone
- (618) 305-4696
- Organisation at this address
- Myofascial Release Of Southern Illinois
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Occupational Therapist
225X00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois