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1598831711
LISA ANN WICKS
INDIANAPOLIS, IN
NPI
1598831711
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Former Name
LISA ANN BRANSCUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31002976A)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
Mrs. LISA ANN WICKS OTR
4850 W CENTURY PLAZA RD SUITE 100
INDIANAPOLIS, IN 46254
Phone number: 317-216-2434
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Mailing Address
Mrs. LISA ANN WICKS OTR
4850 W CENTURY PLAZA RD
INDIANAPOLIS, IN 46254
Phone number: 317-216-2828
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