Individual
DONALD R WALENDZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2815 DUSTIN RD, OREGON, OH 43616
(419) 693-0676
(419) 693-0807
Mailing address
2815 DUSTIN RD STE B, STE B, OREGON, OH 43616-3497
(419) 693-0676
(419) 693-0807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT06878
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000168967
ANTHEM
—
05
—
2347508
—
OH
Enumeration date
07/12/2006
Last updated
03/03/2011
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