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
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47906-1443
- Phone
- (765) 463-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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