Individual
MELISSA JEAN WILM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3408 MANHATTAN BLVD, EVANSVILLE, IN 47711-7909
(812) 453-8125
(812) 897-7361
Mailing address
3408 MANHATTAN BLVD, EVANSVILLE, IN 47711-7909
(812) 453-8125
(812) 897-7361
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000266A
IN
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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