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Individual

TINA WARNOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTAL

Contact information

Practice address
4697 HARRISON ST, BELLAIRE, OH 43906-1338
(740) 671-1436
(740) 671-1210
Mailing address
4697 HARRISON ST, BELLAIRE, OH 43906-1338
(740) 671-1436
(740) 671-1210

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
C1010
WV
224Z00000X
Occupational Therapy Assistant
Primary
OTA00672
OH

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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