Individual
ANGELA NICHOLE WHITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
246 PALMER DR, FAIRBORN, OH 45324-5644
(937) 559-0562
Mailing address
246 PALMER DR, FAIRBORN, OH 45324-5644
(937) 559-0562
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04329
OH
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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