Individual
MRS. JOY LYNN WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1800 N. WABASH AVENUE, MARION, IN 46952
(765) 651-3229
Mailing address
1213 E REYNOLDS ST, GOSHEN, IN 46528-4225
(574) 238-0110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001559A
IN
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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