Individual
KYLIE WELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11420 KESTREL CT, EVANSVILLE, IN 47725-9796
(812) 618-2272
Mailing address
1127 N CANAL ST, MOUNT VERNON, IN 47620-1526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008249A
IN
Other
Enumeration date
05/16/2024
Last updated
01/07/2025
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