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Individual

MRS. TRICIA GENEAN SNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
600 ROBINWOOD DR, ROBINSON, IL 62454-3220
(618) 544-3192
Mailing address
155 SHAMROCK DR, FLORA, IL 62839-3415
(618) 599-5746

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.003255
IL
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
02/08/2021
Last updated
02/23/2021
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