Individual
ANN TOMCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3872 SOUTH ST, DRIGGS, ID 83422-4986
(419) 908-8668
Mailing address
PO BOX 463, TETONIA, ID 83452-0100
(419) 908-8668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-6071
ID
235Z00000X
Speech-Language Pathologist
SP 3501
OH
Other
Enumeration date
02/06/2014
Last updated
03/19/2024
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