Individual
TAMMY MARIE TRAHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
536 S BUSINESS HIGHWAY 13, LEXINGTON, MO 64067-1438
(660) 251-2101
Mailing address
500 W 33RD ST, HIGGINSVILLE, MO 64037-1833
(660) 909-6107
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012001560
MO
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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