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Individual

HELEN LOUISE VISLOSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1236 PHILLIPS AVE, DAYTON, OH 45410-2635
(937) 903-5966
Mailing address
1236 PHILLIPS AVE, DAYTON, OH 45410-2635
(937) 903-5966

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
01228
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01228
STATE OF OHIO
OH
Enumeration date
06/16/2010
Last updated
06/16/2010
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