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Individual

NATALIE WIETHOLTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11463 MEADOWLARK CIR, FISHERS, IN 46038-4609
(574) 312-4005
Mailing address
7478 SHADELAND STATION WAY, INDIANAPOLIS, IN 46256-3925
(317) 288-7606

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
02/27/2018
Last updated
03/19/2023
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