Individual
MRS. TRICIA RENEE VENDITTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5236 VOGEL RD, EVANSVILLE, IN 47715-7814
(812) 437-7868
(812) 437-7228
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(812) 437-7868
(812) 437-7228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003675A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200865180
—
IN
Enumeration date
07/10/2006
Last updated
12/31/2020
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