JASON ERIC WYLIE

DILLSBORO, IN
NPI1598009771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32002153A)
Enumeration Date2012-11-12
Last Update Date2012-11-12
Business Address
Mr. JASON ERIC WYLIE COTA/L
12803 LENOVER ST
DILLSBORO, IN 47018-9418
Phone number: 812-432-5226
Mailing Address
Mr. JASON ERIC WYLIE COTA/L
510B PEARL ST
VEVAY, IN 47043-8414
Phone number: 812-801-7590
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