Individual
CECILIA WANCHIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8955 W RICE RD, BLOOMINGTON, IN 47403-9625
(812) 325-9248
Mailing address
8955 W RICE RD, BLOOMINGTON, IN 47403-9625
(812) 325-9248
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004175A
IN
Other
Enumeration date
12/05/2008
Last updated
04/20/2016
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