Individual
TRENTON ANDREW HALCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3419 CHESWICK CT APT 1, WEST LAFAYETTE, IN 47906-7451
(219) 895-1297
Mailing address
3419 CHESWICK CT APT 1, WEST LAFAYETTE, IN 47906-7451
(219) 895-1297
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001996A
IN
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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