Individual
LINDSEY MICHELE WZOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
48 MCPRICE CT APT 414, GREENVILLE, SC 29615-6344
(423) 794-9810
Mailing address
1325 BALLARD RD, JOHNSON CITY, TN 37604-2303
(423) 794-9810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5492
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115601
BLUE CROSS BLUE SHIELD
TN
Enumeration date
03/07/2019
Last updated
07/29/2024
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