Individual
KRISTY NICOLE WIREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1555 S MAIN ST, CROWN POINT, IN 46307-0114
(219) 323-8700
Mailing address
6587 N STATE ROAD 49, RENSSELAER, IN 47978-8528
(219) 863-8665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002276A
IN
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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