Individual
KATHRYN W VISSING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10749 JACOBS CT, FORTVILLE, IN 46040-9461
(317) 313-7677
(317) 336-7602
Mailing address
10749 JACOBS CT, FORTVILLE, IN 46040-9461
(317) 313-7677
(317) 336-7602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000515A
IN
Other
Enumeration date
03/30/2008
Last updated
03/30/2008
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