Provider Demographics
NPI:1689320533
Name:CREAM, TAMARA KESTER (MOT)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:KESTER
Last Name:CREAM
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9247 N MERIDIAN ST STE 206
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1824
Mailing Address - Country:US
Mailing Address - Phone:317-504-7503
Mailing Address - Fax:317-795-0949
Practice Address - Street 1:9247 N MERIDIAN ST STE 206
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1824
Practice Address - Country:US
Practice Address - Phone:317-504-7503
Practice Address - Fax:317-795-0949
Is Sole Proprietor?:No
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist