Individual
HOLLY R WIREBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1046 N JEFFERSON ST, MEDINA, OH 44256-1102
(330) 591-9236
Mailing address
1046 N JEFFERSON ST, MEDINA, OH 44256-1102
(330) 591-9236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.012765
OH
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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