Individual
KATHRYN WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5970 CARVEL AVE, APT E, INDIANAPOLIS, IN 46220-2678
(317) 405-9016
(888) 654-4116
Mailing address
5970 CARVEL AVE, APT E, INDIANAPOLIS, IN 46220-2678
(317) 405-9016
(888) 654-4116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005634A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31005634A
INDIANA OCCUPATIONAL LICENSE
IN
Enumeration date
07/10/2014
Last updated
07/10/2014
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