Provider Demographics
NPI:1609891407
Name:TORMOHLEN, JOANNE M (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:M
Last Name:TORMOHLEN
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 1:103 ROSEWOOD CV
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-8657
Mailing Address - Country:US
Mailing Address - Phone:814-357-0368
Mailing Address - Fax:
Practice Address - Street 1:1229 S 2ND ST
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-3305
Practice Address - Country:US
Practice Address - Phone:814-765-0221
Practice Address - Fax:814-765-3011
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009525174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist