Teresa L Tomamichel, COTA
Individual provider Active NPI Occupational Therapy Assistant · Cloverdale, IN
NPI 1487908653 · NPPES record last updated Nov 9, 2012
Key facts
- NPI
- 1487908653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 303222 (IN)
- Practice address
- 34 S Main St
Cloverdale, IN 46120-8531 - Phone
- (812) 821-2872
- NPI assigned
- Nov 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303222 | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 303222 | IN | Yes |
Addresses
Primary practice location
34 S Main St
Cloverdale, IN 46120-8531
Mailing address
2052 Santa Fe LN
Spencer, IN 47460-5615
Phone (812) 821-2872
Other providers in Cloverdale, IN
- Whitney Anne Smith
- Alexis Stout
- Kalen Elyse Sundeen
- Michelle R Thomas
- Judy K Thrasher
- Kati Wallace
- Wesleyan Homes of Indiana, Inc.
All providers in Cloverdale, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.