Individual
TAMMY SUE KESTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
664 W COUNTY ROAD 600 N, ORLEANS, IN 47452-9719
(812) 865-4326
(812) 865-4326
Mailing address
664 W COUNTY ROAD 600 N, ORLEANS, IN 47452-9719
(812) 865-4326
(812) 865-4326
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
437823
IN
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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