Individual
TAMARA LYNN MISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3505 E ROYALTON RD, BROADVIEW HTS, OH 44147-2994
(440) 570-7498
Mailing address
8819 BROADVIEW RD, BROADVIEW HTS, OH 44147-1958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006756
OH
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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