Amanda J Wiseman, OTA Valid NPI

Individual provider · Occupational Therapy Assistant · West Lafayette, IN

NPI

1386900405

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

32002137A (IN)

Sex

Female

Sole proprietor

No

Enumerated

2012-04-03

Last updated

2012-04-03