Individual
WENDY TIREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 LAFAYETTE AVE, STORY CITY, IA 50248-1454
(515) 450-1956
Mailing address
212 LAFAYETTE AVE, STORY CITY, IA 50248-1454
(515) 450-1956
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000814
IA
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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