Individual
WYAKITA WILLENE TOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CTRS
Contact information
Practice address
6762 PEMBRIDGE WAY, INDIANAPOLIS, IN 46254-4894
(317) 473-9299
Mailing address
6762 PEMBRIDGE WAY, INDIANAPOLIS, IN 46254-4894
(317) 473-9299
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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