Individual
MS. ANGELA GISELA DURCHHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., M.S.
Contact information
Practice address
732 MIDDLETON WAY, STE. 102, LOVELAND, OH 45140-6989
(513) 774-7900
(513) 774-7999
Mailing address
1232 NEALE LN, LOVELAND, OH 45140-9493
(513) 774-7900
(513) 774-7999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 005243
OH
261QP2000X
Physical Therapy Clinic/Center
PT.005243
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2627205
—
OH
Enumeration date
03/08/2007
Last updated
03/19/2013
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