Individual
MS. DIANA BAKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
410 N DIXIE HWY, WAPAKONETA, OH 45895-7739
(419) 738-9675
Mailing address
PO BOX 101, WAPAKONETA, OH 45895-0101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA006942
OH
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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