Individual
MISS RAQUEL MARIE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2484 W STATE ST, ALLIANCE, OH 44601-5608
(330) 829-2338
(330) 829-2376
Mailing address
4645 BELPAR ST NW, CANTON, OH 44718-3602
(330) 493-4210
(330) 493-4744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA - 07048
OH
Other
Enumeration date
09/11/2008
Last updated
09/13/2008
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