Individual
JODI MARIE TUNSTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1276 OVERLOOK RD, MIDDLETOWN, PA 17057-3250
(717) 856-6924
Mailing address
1276 OVERLOOK RD, MIDDLETOWN, PA 17057-3250
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131000775
VA
224Z00000X
Occupational Therapy Assistant
Primary
OP006303
PA
224Z00000X
Occupational Therapy Assistant
OTA100000227
DC
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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