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Individual

KINSEY SHAYE WYSONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
377 WESTRIDGE BLVD, GREENWOOD, IN 46142-2137
(260) 692-2350
Mailing address
8333 GARDEN RIDGE RD, INDIANAPOLIS, IN 46237-3927
(260) 692-2350

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006037A
IN

Other

Enumeration date
08/08/2018
Last updated
08/08/2018
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