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Individual

MS. TIFFANY SUZANNE MCDANNALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
224 W COMMERCIAL ST, LEBANON, MO 65536-3146
(217) 473-2969
Mailing address
143 OUTBACK PASS UNIT 1A, SUNRISE BEACH, MO 65079-5229
(217) 473-2969

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2022026371
MO

Other

Enumeration date
10/22/2008
Last updated
08/13/2025
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