Individual
TANYA SUE SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10925 WITMER RD, GRABILL, IN 46741-9707
(260) 704-6174
Mailing address
10925 WITMER RD, GRABILL, IN 46741-9707
(260) 704-6174
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002033A
IN
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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