Individual
MRS. HELEN BLAIR MCKISSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1350 TERRY DR, PLAINFIELD, IN 46168-9367
(317) 838-7002
Mailing address
1229 W 81ST ST, INDIANAPOLIS, IN 46260-2803
(317) 403-9143
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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