Individual
DIANE WYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 CARTER RD, DEFIANCE, OH 43512-8970
(419) 785-2260
Mailing address
400 CARTER ROAD, DEFIANCE, OH 43512
(419) 785-2260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP6896
OH
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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