Individual
AMBER WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1102 WINKLER AVE, KILLEEN, TX 76542
(254) 634-8505
(254) 519-3477
Mailing address
806 COUNTY ROAD 4756, KEMPNER, TX 76539-8145
(254) 547-1581
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
110375
TX
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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