Individual
DIANE LOUISE WETMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
728 TRAVERS CIR, MISHAWAKA, IN 46545-3751
(574) 334-6373
Mailing address
728 TRAVERS CIR, MISHAWAKA, IN 46545-3751
(574) 334-6373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
32001175A
IN
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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