Individual
MARGARET THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9320 AVALON CIR, CENTERVILLE, OH 45458-4989
(937) 885-5426
Mailing address
276 TAMARACK TRL, SPRINGBORO, OH 45066-1469
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA012296
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA012296
OHIO OT, PT, AT BOARD
—
Enumeration date
11/21/2022
Last updated
11/21/2022
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