Individual
KIERA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 S CREASY LN, LAFAYETTE, IN 47905-5206
(765) 423-6885
Mailing address
3001 S CREASY LN, LAFAYETTE, IN 47905-5206
(765) 423-6885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99124695A
IN
Other
Enumeration date
11/10/2020
Last updated
06/04/2024
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