NPI 1033454566

Tia Nicole Stewart, OTRL

Practitioner Occupational Therapist Normal, IL

Practice location

Address: 1501 Mercy Creek Dr, Normal, IL 61761-9597
Phone: (309) 268-1501
Mailing address: 5115 Francesco Ln, Bloomington, IL 61705-7107

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 056.009108 (IL)

Other Occupational Therapist providers in Illinois →

Registry record

NPI: 1033454566
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Dec 2012
Record last updated: 10 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.