Individual
MICHELLE IMWALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W MAIN ST, COLDWATER, OH 45828-1613
(419) 678-5125
Mailing address
800 W MAIN ST, COLDWATER, OH 45828-1613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008811
OH
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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