Individual
DEBRA SUE TALICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
209 MAIN ST, TABOR, IA 51653-2061
(712) 629-2645
Mailing address
311 HILLWAY DR, GLENWOOD, IA 51534-1209
(712) 527-9720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01556
IA
225X00000X
Occupational Therapist
790
NE
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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