Individual
KELLY J MINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1756 W 100 S, PORTLAND, IN 47371-8204
(260) 726-4020
(260) 726-1805
Mailing address
1756 W 100 S, PORTLAND, IN 47371-8204
(260) 726-4020
(260) 726-1805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003410A
IN
Other
Enumeration date
01/17/2007
Last updated
09/26/2023
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