Stewart, Tia Nicole

Stewart, Tia Nicole is an individual health care provider with primary practice located at 1501 Mercy Creek Dr , Normal IL 61761-9597. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Stewart, Tia Nicole can be contacted via phone (309) 268-1501.

Contact Information

Primary practice address
1501 Mercy Creek Dr Normal IL 61761-9597
Phone: (309) 268-1501
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056.009108 Illinois

Profile Details

NPI number 1033454566
LBN Legal business name Stewart, Tia Nicole
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2012
Last updated Dec 10th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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