Individual
MRS. TAMMIE LYNN ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 DELFT CT, PEOTONE, IL 60468-9803
(708) 258-9343
Mailing address
317 DELFT CT, PEOTONE, IL 60468-9803
(708) 258-9343
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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