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Individual

KENDRA MARIE WANINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
6533 OUTER LINCOLN AVE, NEWBURGH, IN 47630-9555
(812) 746-9166
Mailing address
6533 OUTER LINCOLN AVE, NEWBURGH, IN 47630-9555
(812) 746-9166

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007012A
IN

Other

Enumeration date
02/03/2020
Last updated
02/03/2020
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