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Individual

LISA ANNE WILLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
3200 COLD SPRING RD, INDIANAPOLIS, IN 46222-1960
(317) 655-5161
Mailing address
8884 SUMMER WALK DR W, INDIANAPOLIS, IN 46227-9700
(740) 502-9005

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003517A
IN

Other

Enumeration date
08/06/2025
Last updated
08/06/2025
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