Individual
HEATHER MARIE WALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11230 STATE ROUTE 364, SAINT MARYS, OH 45885-9534
(419) 394-2366
Mailing address
904 JACKSON ST, SAINT MARYS, OH 45885-2069
(567) 644-5129
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012329
OH
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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