Individual
TAMMY G WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 MENDON RD, VAN WERT, OH 45891-9098
(567) 259-9675
Mailing address
1109 MENDON RD, VAN WERT, OH 45891-9098
(567) 259-9675
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
8100976
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009291427
—
OH
Enumeration date
10/12/2020
Last updated
10/12/2020
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