Individual
TYLER JAMES MOSKALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
551 EASTPORT CENTRE DR, VALPARAISO, IN 46383-2898
(219) 255-2454
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008270A
IN
Other
Enumeration date
12/14/2023
Last updated
03/13/2024
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