Most Relevant Information
Provider Data
| NPI Number: | 1003272758 |
| Provider Name: | WENDY TIREMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 000814 |
Most Important Dates
| Enumeration Date: | 01/11/2016 |
| Last Updated: | 01/11/2016 |
Provider Practice Location
212 LAFAYETTE AVE
STORY CITY
IA
502481454
Practice Location Phone/Fax
| Phone: | 5154501956 |
| Fax: |
Provider Mailing Location
212 LAFAYETTE AVE
STORY CITY
IA
502481454
Provider Mailing Phone/Fax
| Phone: | 5154501956 |
| Fax: |