Most Relevant Information
Provider Data
NPI Number: | 1003230400 |
Provider Name: | ANN TOMCHAK |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | SP 3501 |
Most Important Dates
Enumeration Date: | 02/06/2014 |
Last Updated: | 03/19/2024 |
Provider Practice Location
3872 SOUTH ST
DRIGGS
ID
834224986
Practice Location Phone/Fax
Phone: | 4199088668 |
Fax: |
Provider Mailing Location
PO BOX 463
TETONIA
ID
834520100
Provider Mailing Phone/Fax
Phone: | 4199088668 |
Fax: |