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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JULIE ANN TINNON, COTA/L

Active Sole Proprietor

JULIE ANN TINNON, COTA/L is a Occupational Therapy Assistant healthcare provider located in SOUTH ROXANA, Illinois. NPI 1083975155 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SOUTH ROXANA, IL

Registration Details

NPI Number
1083975155
Provider Type
Individual
Gender
Female
NPI Issued
Jun 5, 2012 (14.180462439725 yrs)
Last Updated
Jun 5, 2012
License
2009035429 (MO)
Sole Proprietor
Yes

Practice Information

Address
203 PENNSYLVANIA AVE
SOUTH ROXANA, IL, 620871646
Browse IL providers · Browse ZIP 62087
Phone
6182257094
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.