Individual
GINA WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
122 MEDINA RD, MEDINA, OH 44256-9650
(330) 239-1100
Mailing address
4144 WATKINS RD, NORTON, OH 44203-6156
(330) 636-6829
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA013799
OH
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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