Individual
KIMBERLY LYNN WELLEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2819 N SAINT JOSEPH AVE, EVANSVILLE, IN 47720-1335
(812) 424-2941
(812) 423-6230
Mailing address
8622 FLINTLOCK DR, NEWBURGH, IN 47630-9334
(812) 490-2261
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003130A
IN
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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