Individual
MRS. KIRSTYN KALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
12238 WHEATHILL PASS, FISHERS, IN 46037-4436
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004958A
IN
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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