Tammy L Owen, PTA

NPI #1073854618 in Valparaiso, Indiana

Provider Information

NPI Number: 1073854618
Entity Type: Individual
Name: Tammy L Owen, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: PTA
Enumeration Date: Mar 6, 2013
Last Updated: Mar 6, 2013

Practice Location

Address: 318 TIMI DR
City: Valparaiso
State: Indiana
ZIP Code: 46385-8504
Phone: (219) 762-0270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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