Individual
REIGAN WAKELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1039 CAMBRIDGE RD, COSHOCTON, OH 43812-2704
(740) 552-0791
Mailing address
659 E CANAL ST, NEWCOMERSTOWN, OH 43832-1207
(740) 552-0791
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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