Tia Nicole Stewart OTR/L

NPI 1033454566 - Occupational Therapist - 225X00000X

NPI Details
NPI 1033454566
Gender Female
Enumeration Date 12/10/2012
Last Updated 12/10/2012
Entity Type Individual
Active Over 3 years ago
Practice Location
1501 MERCY CREEK DR
NORMAL IL, 61761-9597, US
Phone (309) 268-1501
Fax
Business Location
5115 FRANCESCO LN
BLOOMINGTON IL, 61705-7107, US
Phone (309) 808-0471
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Illinois
License Number 056.009108
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According to our database, Mrs. Tia Nicole Stewart OTR/L NPI is 1033454566, taxonomy code is 225X00000X and license number is 056.009108, license state is located at Illinois. Tia Nicole Stewart OTR/L physically located at 1501 Mercy Creek Dr, Normal IL, 61761-9597. NPI Number Tia Nicole Stewart OTR/L has the Individual type.

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1033454566 NPI number is provided on an as is basis without warranty of any kind. 1033454566 is maintained by the National Plan & Provider Enumeration System. The contents of Tia Nicole Stewart OTR/L are for informational purposes only.