Individual
MRS. ELISSA TONDALAYA WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
475 WESTERN AVE, SUITE E, CHILLICOTHE, OH 45601-2286
(740) 702-3120
(740) 702-3123
Mailing address
24633 HUBER HITLER RD, CIRCLEVILLE, OH 43113-2515
(740) 703-0995
(740) 420-3881
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.005802
OH
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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