Individual
GRACE WILLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9002 N MERIDIAN ST STE 111, INDIANAPOLIS, IN 46260-5377
(317) 779-3530
Mailing address
11115 MANTEO CT, FISHERS, IN 46040-9135
(317) 438-1124
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
86453
IN
225X00000X
Occupational Therapist
Primary
545715
IN
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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