Whalio Doctors

NPI 1073854618

Tammy L Owen, PTA

Practitioner Community Health Worker Valparaiso, IN

Practice location

Address
318 Timi Dr, Valparaiso, IN 46385-8504
Phone
(219) 762-0270

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence 0600413A (IN)

Registry record

NPI
1073854618
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Mar 2013
Record last updated
6 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.