Provider Demographics
NPI:1134876915
Name:TUNNEY, TOSHA (OTRL)
Entity type:Individual
Prefix:
First Name:TOSHA
Middle Name:
Last Name:TUNNEY
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:STANDISH
Mailing Address - State:MI
Mailing Address - Zip Code:48658-9003
Mailing Address - Country:US
Mailing Address - Phone:989-233-7881
Mailing Address - Fax:
Practice Address - Street 1:704 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:STANDISH
Practice Address - State:MI
Practice Address - Zip Code:48658-9003
Practice Address - Country:US
Practice Address - Phone:989-233-7881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201012857225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist