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Individual
TAMMY JEAN WITHEY
Active
Individual
TAMMY JEAN WITHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2006036941
MO
225X00000X
Occupational Therapist
31004427A
IN
225X00000X
Occupational Therapist
Primary
5201006203
MI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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