Individual
MRS. KELLY SUSAN WUNDERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5226 E 82ND ST, INDIANAPOLIS, IN 46250-1628
(317) 842-6668
(317) 578-4113
Mailing address
8158 BIRCHFIELD DR, INDIANAPOLIS, IN 46268-2895
(317) 709-1610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003781A
IN
Other
Enumeration date
07/07/2008
Last updated
01/22/2018
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