Les John Kiesel, OTR
Occupational Therapist in Dale, IN. Individual provider (NPI-1).
NPI number1982802682
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982802682
- Entity type
- Individual (NPI-1)
- Name
- Les John Kiesel
- Credential
- OTR
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 31001496A | IN | Yes |
Practice location
404 West Willow RoadDale, IN 47523
Phone 812-937-4489 · Fax 812-937-7101
Mailing address
10685 S 310 WHaubstadt, IN 47639
Phone 812-937-4489 · Fax 812-937-7101
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