Individual
MRS. SARA C TORMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1400 POPLAR ST, HANCOCK, MI 49930-1121
(906) 482-6644
Mailing address
1400 POPLAR ST, HANCOCK, MI 49930-1121
(906) 482-6644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
670B811560
BLUE CROSS BLUE SHIELD
MI
01
—
P00228413
RR MEDICARE
MI
Enumeration date
01/04/2007
Last updated
01/25/2012
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