Individual
SERENA J WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAE
Contact information
Practice address
1542 COOPER DEARING RD, ALVATON, KY 42122-9810
(270) 784-3438
(270) 793-0770
Mailing address
1542 COOPER DEARING RD, ALVATON, KY 42122-9810
(270) 784-3438
(270) 793-0770
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
200405079
KY
Other
Enumeration date
05/29/2008
Last updated
04/12/2014
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