Amanda J Wiseman, OTA

NPI #1386900405 in West Lafayette, Indiana

Provider Information

NPI Number
1386900405
Entity Type
Individual
Name
Amanda J Wiseman, OTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
OTA
Enumeration Date
Apr 3, 2012
Last Updated
Apr 3, 2012

Practice Location

Address
917 SAGAMORE PKWY W
State
Indiana
ZIP Code
47906-1443
Phone
(765) 463-2200

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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