Individual
MS. ALEXANDRIA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR//L
Contact information
Practice address
501 N 17TH AVE, BEECH GROVE, IN 46107-1196
(855) 840-7257
Mailing address
7150 NILE RIDGE CT, INDIANAPOLIS, IN 46236-8194
(317) 439-5580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
410740
IN
Other
Enumeration date
05/02/2019
Last updated
07/01/2021
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