Individual
MS. KATHLEEN ANN WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
133 BARCLAY RD, CAMILLUS, NY 13031-2001
(315) 487-7143
Mailing address
133 BARCLAY RD, CAMILLUS, NY 13031-2001
(315) 487-7143
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003716-1
NY
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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