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Individual

THERESA WIEGAND-SWIHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,OTR/CHT

Contact information

Practice address
639 S WALKER ST STE A, BLOOMINGTON, IN 47403-2124
(317) 455-1064
Mailing address
4690 N BENTON DR, BLOOMINGTON, IN 47408-9502
(812) 320-1244

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
31002009A
IN

Other

Enumeration date
12/16/2010
Last updated
07/02/2024
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