Provider Demographics
NPI:1598896037
Name:TONCHEFF, JULIA R (OTR)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:R
Last Name:TONCHEFF
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3207 MARTHA ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2842
Mailing Address - Country:US
Mailing Address - Phone:219-689-4646
Mailing Address - Fax:219-922-8748
Practice Address - Street 1:3101 EVANS AVE
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-6939
Practice Address - Country:US
Practice Address - Phone:219-462-0786
Practice Address - Fax:219-548-7543
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31003148A225X00000X
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist