Individual
AMI JEY WUNDERLIN-WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(502) 249-6829
Mailing address
605 S FESS AVE APT 1, BLOOMINGTON, IN 47401-4972
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
267002
KY
225X00000X
Occupational Therapist
26935
CA
225X00000X
Occupational Therapist
Primary
31008609A
IN
225X00000X
Occupational Therapist
OT.000851
CO
Other
Enumeration date
10/21/2021
Last updated
02/02/2025
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