Individual
KEZIBAN SLISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15670 SUNRISE TRL, GRANGER, IN 46530-6637
(574) 360-7412
(574) 271-1607
Mailing address
15670 SUNRISE TRL, GRANGER, IN 46530-6637
(574) 360-7412
(574) 271-1607
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002476A
IN
Other
Enumeration date
03/27/2008
Last updated
05/06/2008
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