Individual
ANGELA WAYMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1773 W GOLDEN HILLS DR, PERU, IN 46970-7228
(765) 469-1406
Mailing address
1773 W GOLDEN HILLS DR, PERU, IN 46970-7228
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001645A
IN
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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