Provider Demographics
NPI:1033424254
Name:PUHLMAN, THOMAS LINN (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:LINN
Last Name:PUHLMAN
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 ESTATES DR
Mailing Address - Street 2:#2
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7416
Mailing Address - Country:US
Mailing Address - Phone:209-620-5284
Mailing Address - Fax:530-343-2114
Practice Address - Street 1:120 ESTATES DR
Practice Address - Street 2:#2
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7416
Practice Address - Country:US
Practice Address - Phone:209-620-5284
Practice Address - Fax:530-343-2114
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT4758283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital