Individual
ELIZA TIVNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
212 CHESTNUT ST, MARYSVILLE, OH 43040-1700
(937) 578-6100
Mailing address
212 CHESTNUT ST, MARYSVILLE, OH 43040-1700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT013049
OH
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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