Individual
MRS. TERESA L TOMAMICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
34 S MAIN ST, CLOVERDALE, IN 46120-8531
(812) 821-2872
Mailing address
2052 SANTA FE LN, SPENCER, IN 47460-5615
(812) 821-2872
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
303222
IN
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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