Individual
MRS. LISA ANNE WYNKOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
391 CLARK DR, CIRCLEVILLE, OH 43113-1561
(740) 474-6036
(740) 420-3342
Mailing address
9729 MARCY RD, CANAL WINCHESTER, OH 43110-9511
(614) 837-1112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 3919
OH
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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