Individual
SOLANGE TUYISHIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 ANTHONY DR APT E, MARYVILLE, IL 62062-6819
(314) 939-3650
Mailing address
304 ANTHONY DR APT E, MARYVILLE, IL 62062-6819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2025039423
MO
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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