Individual
TAMMY L OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
318 TIMI DR, VALPARAISO, IN 46385-8504
(219) 762-0270
Mailing address
318 TIMI DR, VALPARAISO, IN 46385-8504
(219) 762-0270
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0600413A
IN
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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