Individual
MISS PAMELA MARIE WEDEKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
221 US HIGHWAY 41 STE H, SCHERERVILLE, IN 46375-1278
(219) 322-1600
Mailing address
1449 AUSTIN AVE, SCHERERVILLE, IN 46375-2050
(847) 691-5670
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056005144
IL
225X00000X
Occupational Therapist
Primary
31006366A
IN
Other
Enumeration date
12/22/2006
Last updated
04/10/2020
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