Individual
JULIE ANN TINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
203 PENNSYLVANIA AVE, SOUTH ROXANA, IL 62087-1646
(618) 225-7094
Mailing address
203 PENNSYLVANIA AVE, SOUTH ROXANA, IL 62087-1646
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2009035429
MO
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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