Individual
MRS. TAMMERRIE ANN NOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 W 12TH ST, PERU, IN 46970-1638
(317) 204-3736
Mailing address
3137 SUMMIT AVE, LOGANSPORT, IN 46947-2139
(317) 204-3736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06007133A
IN
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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