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TYRONE FACTORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
2536 INDUSTRIAL DR, STE 11, BLOOMINGTON, IN 47404
(812) 332-7529
(812) 339-7529
Mailing address
2536 INDUSTRIAL DR, STE 11, BLOOMINGTON, IN 47404
(812) 332-7529
(812) 339-7529

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003809A
IN

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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