ERIC WIENS

ANDERSON, IN
NPI1598644460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32000784A)
Enumeration Date2025-08-27
Last Update Date2025-08-27
Business Address
ERIC WIENS COTA
2015 JACKSON ST
ANDERSON, IN 46016-4337
Phone number: 765-646-8168
Mailing Address
ERIC WIENS COTA
15188 SLATEFORD RD
NOBLESVILLE, IN 46062-7714
Phone number: 765-635-4259