Individual provider · Type 1 NPI

Tara Manzano, OTR/L

Occupational Therapist · Carbondale, IL

NPI number 1164853255 Active

Practice location

101 S Graham Ave, Suite 3
Carbondale, IL 62901-3043

Call (618) 305-4696 Map

Mailing address

PO Box 2031
Carbondale, IL 62902-2031

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056006377 (IL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1164853255

Tara Manzano, OTR/L's National Provider Identifier is 1164853255, issued on Nov 27, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Carbondale, IL. The record was last updated on Nov 4, 2014.