Individual
RYAN WACHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
723 SUMMERS ST, PARKERSBURG, WV 26101-6022
(304) 428-5573
Mailing address
48944 TOWNSHIP ROAD 1059, REEDSVILLE, OH 45772-9721
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
WV 1927
WV
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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