Individual
LEAH KAYE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4403 FAR HILLS AVE, KETTERING, OH 45429-2405
(937) 395-3910
Mailing address
4403 FAR HILLS AVE, KETTERING, OH 45429-2405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014234
OH
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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