Individual
MRS. SHANNON KATHLEEN TOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14 RIVER REACH CT APT C, ALTON, IL 62002-7391
(314) 910-2350
Mailing address
14 RIVER REACH CT APT C, ALTON, IL 62002-7391
(314) 910-2350
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002380
IL
224Z00000X
Occupational Therapy Assistant
2003012800
MO
224Z00000X
Occupational Therapy Assistant
OTA 11278
FL
Other
Enumeration date
05/23/2010
Last updated
05/23/2010
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