Most Relevant Information
Provider Data
| NPI Number: | 1003456856 |
| Provider Name: | JENNA TARRAN DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 070.024895 |
Most Important Dates
| Enumeration Date: | 01/09/2020 |
| Last Updated: | 10/31/2023 |
Provider Practice Location
9 N 2ND ST
ST CHARLES
IL
601741869
Practice Location Phone/Fax
| Phone: | 6305264200 |
| Fax: | 6305264201 |
Provider Mailing Location
33900 HARPER AVE STE 104
CLINTON TWP
MI
480354258
Provider Mailing Phone/Fax
| Phone: | 5863502644 |
| Fax: | 5865413735 |