Individual
ANGELA M WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3355 RICHMOND RD STE 110, BEACHWOOD, OH 44122-4180
(216) 593-7070
(216) 593-7074
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 502-3511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010147
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2452706
—
OH
01
—
H646381
MEDICARE
OH
Enumeration date
01/31/2007
Last updated
04/29/2020
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