Individual
ANDREW TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 W SCHREYER PL, COLUMBUS, OH 43214-2618
(760) 274-4342
Mailing address
118 W SCHREYER PL, COLUMBUS, OH 43214-2618
(760) 274-4342
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008587
OH
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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