Individual
VICTORIA WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7739 E 88TH ST, INDIANAPOLIS, IN 46256-1231
(317) 578-0410
(317) 578-0520
Mailing address
7739 E 88TH ST, INDIANAPOLIS, IN 46256-1231
(317) 578-0410
(317) 578-0520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004153A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200685160
—
IN
Enumeration date
04/14/2008
Last updated
05/21/2012
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