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Organization
MAPLE TREE CANCER ALLIANCE
Active
Organization
MAPLE TREE CANCER ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN Y WONDERS PH.D. (EXECUTIVE DIRECTOR)
(937) 477-8213
Entity
Organization
Contact information
Practice address
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431-1705
(937) 477-8213
Mailing address
425 N FINDLAY ST, DAYTON, OH 45404-2203
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
NULL
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/20/2017
Last updated
04/09/2018
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