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Individual

TAMALA SUE RUNNEALS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
129 E COURT ST, SIDNEY, OH 45365-3021
(937) 498-1354
(937) 498-4850
Mailing address
121 S OPERA ST, BELLEFONTAINE, OH 43311-2057

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
06213
OH

Other

Enumeration date
10/30/2015
Last updated
10/30/2015
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