Individual
TAMMIE RENEE HAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 BROWER RD, LIMA, OH 45801-2515
(419) 227-2611
Mailing address
836 PARK DR, WAPAKONETA, OH 45895-1739
(141) 930-5109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4761
OH
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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