Individual
TAMARA COLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302
(740) 383-8022
(740) 383-7942
Mailing address
PO BOX 1827, MARION, OH 43301-1827
(740) 383-8022
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005554
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362329
ANTHEM
OH
05
—
2899663
—
OH
01
—
311704991
TAX ID
—
Enumeration date
05/03/2006
Last updated
02/11/2010
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