MRS. Janie Tibbs

NPI #1306002621 in Fairfield, Illinois

Provider Information

NPI Number: 1306002621
Entity Type: Individual
Name: MRS. Janie Tibbs
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Aug 6, 2008
Last Updated: Aug 15, 2008

Practice Location

Address: RR 3 BOX 154
City: Fairfield
State: Illinois
ZIP Code: 62837-9537
Phone: (618) 516-3340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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