Individual
KYLEE WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 STATE ST, LA PORTE, IN 46350-3112
(219) 326-1234
Mailing address
2101 WYNNEWOOD DR, VALPARAISO, IN 46385-2826
(219) 252-4011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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