Individual
MR. TISHA STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
745 N SWOPE ST, GREENFIELD, IN 46140-1332
(317) 462-9221
(317) 462-5076
Mailing address
6063 E 300 S, GREENFIELD, IN 46140-9741
(317) 468-0727
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002669A
IN
Other
Enumeration date
07/27/2008
Last updated
07/27/2008
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