Individual
TANYA M CILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT-A
Contact information
Practice address
2811 LONGVIEW DR, SUITE C, JONESBORO, AR 72401-5919
(870) 974-9114
(870) 974-9184
Mailing address
2811 LONGVIEW DR, SUITE C, JONESBORO, AR 72401-5919
(870) 974-9114
(870) 974-9184
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A495
AR
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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