Mrs. Tara Manzano, OTR/L
Mrs. Tara Manzano, OTR/L is an Occupational Therapist in Private Practice in Carbondale, Illinois. Qualified in 2001, 25 years ago. Practices with Myofascial Release of Southern Illinois, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 25
- Licensed in
- IL
- In the registry since
- 2013
What do these letters mean?
- OTR/L — Occupational Therapist, Registered and Licensed
- An occupational therapist who is both nationally registered and state licensed.
Practice location Address checks out
101 S Graham Ave Ste 3Carbondale, IL 62901-3043
Phone: (618) 305-4696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 056006377 (IL) |
|---|
Record details
| NPI number | 1164853255 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTR/L |
| Sole proprietor | Yes |
| NPI enumerated | November 27, 2013 |
| Last updated in NPPES | November 4, 2014 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Myofascial Release Of Southern Illinois — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Carbondale
-
Mr. Jennifer Christine Aspen, OTR/L
405 W Jackson St, Carbondale, IL 62901-1462 · (618) 549-0721
-
Erica E Clore, MS, OTR/L
306 W Mill St, Carbondale, IL 62901-2727 · (618) 529-2922
-
Mrs. Courtney Lyn Maynor, OTR/L
306 W Mill St, Carbondale, IL 62901-2727 · (618) 529-3060
-
Brynn McClaran, OTR/L
900 E Walnut St Ste 1, Carbondale, IL 62901-3132 · (618) 319-7540
-
Leslie Ann McGee
120 N Tower Rd, Carbondale, IL 62901-1929 · (618) 549-3355
-
Sidney C Metzger
1050 N Reed Station Rd, Carbondale, IL 62902-7376 · (618) 529-3060