Individual
TONNA PHIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA-L
Contact information
Practice address
815 HIGH RD, NORWALK, IA 50211-1462
(515) 981-4269
Mailing address
815 HIGH RD, NORWALK, IA 50211-1462
(515) 981-4269
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000895
IA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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