Individual
EBONI S TINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7531 BAYVIEW CLUB DR, #2B, INDIANAPOLIS, IN 46250-2194
(219) 381-9650
Mailing address
7531 BAYVIEW CLUB DR, #2B, INDIANAPOLIS, IN 46250-2194
(219) 381-9650
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
99044723A
IN
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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