Individual
TYLER OMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1000 W LINCOLN WAY, JEFFERSON, IA 50129-1645
(515) 386-0248
(515) 386-2480
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
087034
IA
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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