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Individual

MR. MICHAEL TIGHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
1100 LANGEAIS DR, MARION, OH 43302-6769
(740) 386-2190
Mailing address
1100 LANGEAIS DR, MARION, OH 43302-6769
(740) 386-2190

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5788
OH
225X00000X
Occupational Therapist
Primary
11759
OH

Other

Enumeration date
09/28/2016
Last updated
10/07/2021
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