NPI 1023139219

Lisa Marie Wysocki

Practitioner Developmental Therapist Indianapolis, IN

Practice location

Address: 8930 Emperors CT, Indianapolis, IN 46234-9599
Phone: (316) 271-9356
Fax: (317) 271-7347

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X Licence 533007 (IN)

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Registry record

NPI: 1023139219
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.