Individual
PANKAJ K TYAGI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4417 S HIDDEN WAY ST, TERRE HAUTE, IN 47802-6602
(812) 201-1338
Mailing address
4417 S HIDDEN WAY ST, TERRE HAUTE, IN 47802-6602
(812) 201-1338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001448A
IN
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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