Individual
ZONDA KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3912 E COUNTY LINE RD, LEWISVILLE, IN 47352-9733
(765) 914-5111
Mailing address
3912 E COUNTY LINE RD, LEWISVILLE, IN 47352-9733
(765) 914-5111
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
22003681A
IN
Other
Enumeration date
01/02/2023
Last updated
10/03/2023
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