Provider Demographics
NPI:1184435539
Name:TIGNER, CORINNE NICOLE (OTRL)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:NICOLE
Last Name:TIGNER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:NICOLE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:397 JACKSON CIR
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-8548
Mailing Address - Country:US
Mailing Address - Phone:810-841-4741
Mailing Address - Fax:
Practice Address - Street 1:119 S WASHINGTON ST STE 3
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-6423
Practice Address - Country:US
Practice Address - Phone:248-220-6871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201011212225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist