Individual
TINA POVALERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3841 N HOME AVE, DEPUTY, IN 47230-9080
(812) 599-2328
Mailing address
3841 N HOME AVE, DEPUTY, IN 47230-9080
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
01/30/2019
Last updated
02/04/2019
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