Sobodas, Tarah
Sobodas, Tarah is an individual health care provider with primary practice located at 3082 Caton Farm Rd , Joliet IL 60435-1455. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Sobodas, Tarah can be contacted via phone (815) 577-9936.Contact Information
Primary practice address
3082 Caton Farm Rd
Joliet IL 60435-1455
Phone: (815) 577-9936
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 096-002159 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-016958 | Illinois |
Profile Details
| NPI number | 1932143948 |
|---|---|
| LBN Legal business name | Sobodas, Tarah |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Sep 29th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932143948 | NPPES |
| Illinois | Other | P00844085 | MEDICARE RR |
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