Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Ellen Marie Tanner, OTRL

Individual provider Occupational Therapist · NPI 1417172172

Mrs. Ellen Marie Tanner, OTRL is an Occupational Therapist in Alton, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

4823 Storeyland Dr
Alton, IL 62002-5835
Phone: (312) 593-4871
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056.007674 (IL)

Record details

NPI number1417172172
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESOctober 27, 2014

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