Individual
MISS SWEET CHARITY TAN PUNZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2200 W WHITE RIVER BLVD, MUNCIE, IN 47303-5242
(765) 289-3341
(765) 289-3511
Mailing address
501 W SKYWAY DR, MUNCIE, IN 47303-1151
(765) 461-6040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004162A
IN
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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