Individual
MICHAL TREADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
525 W OAKLAND AVE STE 205, JOHNSON CITY, TN 37604-1673
(423) 282-1700
Mailing address
232 BOONESBORO RD, JOHNSON CITY, TN 37615-4201
(630) 962-2023
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8225
TN
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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