Individual
MR. MICHAEL ALLAN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7540 N 19TH AVENUE, PHOENIX, AZ 85021-7967
(602) 324-6500
Mailing address
18 FURROW LANE, NORTH EAST, MD 21901-1137
(410) 658-9730
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2451
MD
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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