Individual
EMILY MACKENZIE TIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
602 E JACKSON ST, DU QUOIN, IL 62832-2429
(618) 542-3441
Mailing address
1725 HEATHWOOD DR, NASHVILLE, IL 62263-1365
(618) 314-0798
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014314
IL
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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