Individual
MS. TAMMY P HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2299 METROPOLIS ST, METROPOLIS, IL 62960-1320
(618) 524-2634
Mailing address
2299 METROPOLIS ST, METROPOLIS, IL 62960-1320
(618) 524-2634
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001549
IL
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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