Individual
MR. ALAN R DISTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1725 WESTERN AVE, SUITE B, FINDLAY, OH 45840-1345
(419) 422-5526
Mailing address
P O BOX 239, FINDLAY, OH 45839-1345
(419) 422-5526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2269905
—
OH
01
—
250933
ANTHEM BCBS
OH
01
—
252932
ANTHEM BCBS
OH
Enumeration date
11/08/2005
Last updated
07/08/2007
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