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Individual

DEVIN WADE WITT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
822 E WESTERN RESERVE RD, POLAND, OH 44514-3359
(330) 758-8223
Mailing address
822 E WESTERN RESERVE RD, POLAND, OH 44514-3359
(330) 758-8223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT08389
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2310592
OH
Enumeration date
06/30/2005
Last updated
07/08/2007
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