Individual
STACY MARIE TWEDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2736 W MILL RD, EVANSVILLE, IN 47720-1128
(812) 202-0691
Mailing address
2736 W MILL RD, EVANSVILLE, IN 47720-1128
(812) 202-0691
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IN
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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