MRS. Ellen Marie Tanner, OTRL

NPI #1417172172 in Alton, Illinois

Provider Information

NPI Number
1417172172
Entity Type
Individual
Name
MRS. Ellen Marie Tanner, OTRL
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OTRL
Enumeration Date
Apr 16, 2007
Last Updated
Oct 27, 2014

Practice Location

Address
4823 STOREYLAND DR
City
Alton
ZIP Code
62002-5835
Phone
(312) 593-4871

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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