Individual
CAITLYN TOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
(574) 807-9599
Mailing address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
(574) 807-9599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31106720A
IN
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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